CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Grandview Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.9× the $34 Medicare rate · typically $29–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $34 Fair price $31 This hospital $32 Cash price $60 Hospital's list price $308

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $32

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $31 (about 0.9× the $34 Medicare rate). Grandview Medical Center charges insurers about $32, or about $60 in cash — about the fair price. Located in Birmingham, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 - $217 92%
Blue Cross Blue Shieldmajor $67 199%
Aetnamajor $32 95%
Cignamajor $31 - $171 92%
Humanamajor $31 92%
Ambetter (Centene) $47 139%
Cigna HealthSpring $55 163%
Clover Health $32 95%
Devoted Health $31 92%
SelectHealth $31 92%
WellCare $32 95%
+ 19 smaller / regional plans $31 - $277
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals