CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $84
Cash Discount Price: $64
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Holy Cross Hospital-Jordan Valley is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.03x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $64 (231%)

Insurance Median: $84 (303%)

Cash: $64 (231% of Medicare)

Ins. Median: $84 (303% 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 303% of the Medicare baseline (a markup of 203%). 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
Blue Cross Blue Shield	$24 - $96	87%
Aetna	$28 - $135	101%
Colorado Access	$28	101%
Denver Health	$28	101%
Health Choice	$28	101%
Humana	$28	101%
Medicare (plans)	$28	101%
Molina	$28 - $68	101%
Rocky Mountain Health Plan	$28	101%
Uuhp	$28 - $86	101%
Employer Direct Healthcare	$34	123%
Motivhealth	$36	130%
Pehp	$68 - $164	245%
Centura Employee Plan	$72	260%
Wise	$83 - $84	299%
Deseret Mutual Benefit Administrators	$98	354%
Select Health	$105	379%
Multiplan	$110 - $145	397%
Cigna	$127 - $302	458%
Emi Health	$159	574%
UnitedHealthcare	$159 - $316	574%

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 $64.
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 Holy Cross Hospital-Jordan Valley 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.