CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $53
Cash Discount Price: $34
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Loma Linda University Medical Center-Murrieta is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.57x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $34 (101%)

Insurance Median: $53 (157%)

Cash: $34 (101% of Medicare)

Ins. Median: $53 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Kaiser Foundation Hospitals	$14 - $36	42%
Adventist Health	$15 - $31	44%
Inland Empire Health Plan (Iehp)	$19	56%
Lluh Dept Of Risk Management	$19	56%
Aetna	$41 - $52	122%
Alpha Care Medical Group	$42 - $65	125%
Heritage Provider Network	$47 - $51	139%
Cigna	$49	145%
Epic Health Plan	$49	145%
Molina Healthcare Of Ca	$53	157%
Multiplan	$57	169%
Dignity Health	$65	193%
Vantage Medical Group	$65	193%
Trivalley Medical Group	$100	296%
UnitedHealthcare	$220 - $261	652%
Blue Shield Of California	$284 - $354	842%
Blue Cross Blue Shield	$334	990%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $34.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Medical Center-Murrieta is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.