CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Intermountain Health Spanish Fork Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $78
Cash Discount Price: $93
vs. Medicare Baseline: 2.81x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Intermountain Health Spanish Fork Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.81x the Medicare baseline. Located in 765 East Market Place Drive, Spanish Fork, UT.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $93 (335%)

Insurance Median: $78 (281%)

Cash: $93 (335% of Medicare)

Ins. Median: $78 (281% 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 281% of the Medicare baseline (a markup of 181%). 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
Donor Connect	$8 - $33	29%
Aetna	$26 - $105	94%
American Health	$26 - $28	94%
Blue Cross Blue Shield	$26 - $94	94%
Health Partners Of Nevada	$26 - $27	94%
Health Plan Of Nevada	$26 - $37	94%
Healthy U	$26 - $27	94%
Humana	$26 - $28	94%
Molina	$26 - $30	94%
Selecthealth	$26 - $74	94%
Triwest	$26	94%
UnitedHealthcare	$26 - $105	94%
Intermountain Caregiver Plan	$53 - $70	191%
Emi	$67	242%
Deseret Mutual	$71	256%
Cigna	$78 - $105	281%
Awh Connected	$79 - $80	285%
Emi Health	$86	310%
Pehp	$86 - $110	310%
Byu Risk Management	$87 - $90	314%
Corporation Of The President	$87 - $90	314%
Wcf Insurance	$87 - $90	314%
Byu Athletics	$89	321%
Campbell Scientific	$89	321%
Corvel Corporation	$89	321%
Franklin County	$89	321%
Ifit	$89	321%
Juniper Systems	$89	321%
Lw Miller	$89	321%
Tanner Llc	$89	321%
Utah Tech	$89	321%
Injury Care Of Nevada	$93	335%
Managed Care Admin	$97	350%
Prodegi Corp Benefit	$102	368%
Uofu	$102	368%
Springtide	$103	372%
Global Excel	$105	379%
Medcare International	$105	379%
Motivhealth	$105	379%
Wise Network	$105	379%
Hygeia Corporation	$111	400%

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 $93.
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 Intermountain Health Spanish Fork Hospital 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.