Physical Therapy (Manual Therapy) Cost in Hawaii
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$27.74Hawaii physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Hawaii Medicare physician rate (2026)
+0.1% vs nationalSingle statewide locality.
Your ZIP in Hawaii
Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.
What physical therapy (manual therapy) costs at hospitals near you
Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Hawaii
Where Hawaii ranks for this CPT
Physical Therapy (Manual Therapy) and how Hawaii is priced
Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.
Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.
This procedure: Manual therapy is the hands-on treatment code of physical therapy: joint mobilization, soft tissue work, manual stretching, and manipulation performed directly by the therapist's hands, billed in 15-minute units. It addresses stiffness, restricted joints, and muscle tightness, and typically occupies one unit within a session that also includes exercise. Patients experience it as targeted, sometimes intense, hands-on work on the problem area.
What Is Physical Therapy (Manual Therapy)?
Manual therapy is the hands-on treatment code of physical therapy: joint mobilization, soft tissue work, manual stretching, and manipulation performed directly by the therapist's hands, billed in 15-minute units. It addresses stiffness, restricted joints, and muscle tightness, and typically occupies one unit within a session that also includes exercise. Patients experience it as targeted, sometimes intense, hands-on work on the problem area.
What Affects the Cost
- –Like all timed PT codes, it bills per 15-minute unit, and it usually appears alongside therapeutic exercise units, adding a line to every visit's bill.
- –Chiropractors and PTs both bill this code, and payer rules about billing it on the same day as spinal manipulation create claim complications in chiropractic settings.
- –The share of your session spent hands-on versus exercising shifts the code mix and the total.
- –Hospital-based clinics layer facility fees on top of professional charges for identical treatment.
- –Extended courses for chronic conditions accumulate this add-on unit across dozens of visits.
Questions to Ask Before Booking
- 1.How many minutes of hands-on manual therapy will my sessions actually include?
- 2.Will this be billed alongside exercise units, and what does the combined session cost?
- 3.If I am seeing a chiropractor, will billing this with manipulation cause claim denials on my plan?
- 4.Does the treatment plan justify manual therapy at every visit, or only early on?
- 5.How does dropping or adding this unit change my per-visit cost?
Other featured procedures in Hawaii
Physical Therapy (Manual Therapy) in other states
Physical Therapy (Manual Therapy) in Hawaii: questions
Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 97140 is $27.74 in an office and $27.74 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $6 for the office physician line or $6 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.
No. $27.74 is the Medicare physician allowed amount for CPT 97140. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Hawaii ranks #36 of 51 states on this physician line (within 2% of the national office rate of $27.72).