CPT97140

Physical Therapy (Manual Therapy) Cost in New Mexico

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$26.71New Mexico physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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New Mexico Medicare physician rate (2026)

-3.6% vs national

Single statewide locality.

New Mexico (Hospital)
$26.71
Facility physician fee
Private plan est.
$35–$53
~130–200% of Medicare
Cash / self-pay est.
$21–$40
~80–150% of Medicare

Your ZIP in New Mexico

Enter your ZIP code for local context, whether Albuquerque, Santa Fe, Las Cruces, Farmington, Roswell, or the rural pueblos and high desert in between.

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

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

Locked

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 New Mexico

National office$27.72
National hospital (physician)$27.72
New Mexico vs national4% below the national office rate of $27.72

Where New Mexico ranks for this CPT

Rank (lowest physician fee first)#17 of 51
Lowest stateArkansas ($25.72)
Highest stateAlaska ($35.60)

Physical Therapy (Manual Therapy) and how New Mexico is priced

A single statewide locality covers New Mexico, with geographic indices below the national average, so Albuquerque, Santa Fe, and the most remote high-desert communities share one set of Medicare-approved amounts. The state benefits from the floor CMS applies to the physician work index, which lifts low-cost states toward parity. Uniform pricing across a state this large and sparse means the fee schedule is the easy part; finding a provider is often the harder one. Las Cruces and the border region price identically to the Albuquerque metro.

Albuquerque holds the state's academic medical center and most of its specialists, and for many New Mexicans it is the only in-state option for advanced procedures. The Indian Health Service and tribal facilities are central to care across large parts of the state. Residents of the southeast often use Texas providers in Lubbock or El Paso, and northern communities sometimes look to Colorado.

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 New Mexico: questions

New Mexico is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 97140 is $26.71 in an office and $26.71 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. New Mexico 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 $5 for the office physician line or $5 for the hospital physician line in New Mexico. Medigap may cover that 20%. This is not the hospital facility fee.

No. $26.71 is the Medicare physician allowed amount for CPT 97140. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. New Mexico ranks #17 of 51 states on this physician line (4% below 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.