CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $133
Cash Discount Price: $105
vs. Medicare Baseline: 4.80x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Loma Linda University Medical Center-Murrieta is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.80x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)

Cash / Self-Pay: $105 (379%)

Insurance Median: $133 (480%)

Cash: $105 (379% of Medicare)

Ins. Median: $133 (480% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 480% of the Medicare baseline (a markup of 380%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$22 - $138	79%
Adventist Health	$24 - $118	87%
Lluh Dept Of Risk Management	$30 - $72	108%
Inland Empire Health Plan (Iehp)	$36	130%
Aetna	$64 - $199	231%
Alpha Care Medical Group	$66 - $246	238%
Heritage Provider Network	$74 - $196	267%
Cigna	$78 - $188	281%
Epic Health Plan	$78 - $188	281%
Molina Healthcare Of Ca	$84 - $202	303%
Multiplan	$90 - $217	325%
Trivalley Medical Group	$100	361%
Dignity Health	$102 - $246	368%
Vantage Medical Group	$102 - $246	368%
UnitedHealthcare	$220 - $261	794%
Blue Shield Of California	$284 - $354	1025%
Blue Cross Blue Shield	$334	1205%

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 $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

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 97140.
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.