CPT97140

Physical Therapy (Manual Therapy) Cost in Maryland

Manual therapy 1/> regions

$28.49Maryland physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Maryland Medicare physician rate (2026)

+2.8% vs national

Average of 2 localities. Office range $28.00–$28.98.

Maryland (Hospital)
$28.49
Facility physician fee
Private plan est.
$37–$57
~130–200% of Medicare
Cash / self-pay est.
$23–$43
~80–150% of Medicare

Your ZIP in Maryland

A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

What physical therapy (manual therapy) costs at hospitals near you

Everything above is a national average. The hospital you pick in Maryland moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 Maryland

National office$27.72
National hospital (physician)$27.72
Maryland vs national3% above the national office rate of $27.72

Where Maryland ranks for this CPT

Rank (lowest physician fee first)#42 of 51
Lowest stateArkansas ($25.72)
Highest stateAlaska ($35.60)

CPT 97140 by Maryland locality

LocalityOffice
baltimore/surr. cntys$28.98
rest of maryland$28.00

PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.

Physical Therapy (Manual Therapy) and how Maryland is priced

Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.

Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.

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?

Physical Therapy (Manual Therapy) in Maryland: questions

The 2026 Medicare physician office rate for CPT 97140 averages $28.49 across 2 Maryland localities, from $28.00 in REST OF MARYLAND to $28.98 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $28.49. Enter a ZIP for the exact locality.

Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $0.98 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

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 Maryland. Medigap may cover that 20%. This is not the hospital facility fee.

No. $28.49 is the Medicare physician allowed amount for CPT 97140. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Maryland ranks #42 of 51 states on this physician line (3% above the national office rate of $27.72).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.