Physical Therapy (Manual Therapy) Cost in Vermont
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$27.43Vermont 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
Vermont Medicare physician rate (2026)
-1.0% vs nationalSingle statewide locality.
Your ZIP in Vermont
Enter a ZIP code for your part of Vermont, whether Burlington and Chittenden County, Montpelier, Rutland, Brattleboro, or the Northeast Kingdom.
What physical therapy (manual therapy) costs at hospitals near you
Everything above is a national average. The hospital you pick in Vermont 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 Vermont
Where Vermont ranks for this CPT
Physical Therapy (Manual Therapy) and how Vermont is priced
Vermont, with the second-smallest population in the country, is priced as one statewide locality with indices close to the national average, higher than northern New England's rural profile might suggest. Burlington and the smallest Northeast Kingdom towns share the same Medicare-approved amounts. No subdivision has ever been warranted for a state without a single large metro. The fee schedule's simplicity contrasts with the real-world challenge of delivering specialty care across the Green Mountains.
The state's academic medical center in Burlington handles most complex care and also serves northern New York across Lake Champlain, while community hospitals cover the rest of the state with limited procedure menus. Vermonters in the south and east regularly use Dartmouth-area or Boston providers over the border. An aging population, among the oldest in the nation, keeps Medicare central to the state's health economy.
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 Vermont
Physical Therapy (Manual Therapy) in other states
Physical Therapy (Manual Therapy) in Vermont: questions
Vermont is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 97140 is $27.43 in an office and $27.43 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Vermont 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 Vermont. Medigap may cover that 20%. This is not the hospital facility fee.
No. $27.43 is the Medicare physician allowed amount for CPT 97140. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Vermont ranks #26 of 51 states on this physician line (within 2% of the national office rate of $27.72).