CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Kingman Regional Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $109
Cash Discount Price: $62
vs. Medicare Baseline: 3.23x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Kingman Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 3.23x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $62 (184%)

Insurance Median: $109 (323%)

Cash: $62 (184% of Medicare)

Ins. Median: $109 (323% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 323% of the Medicare baseline (a markup of 223%). 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
Health Choice Generations	$33	98%
Hpn Sierra Nevada Mcr Adv	$33	98%
Medicare (plans)	$33	98%
Triwest - All Plans	$33	98%
Humana	$34 - $122	101%
UnitedHealthcare	$34 - $89	101%
Care 1St Mcr Adv-All Other Plans	$35	104%
Mercy Care Adv Snp-All Other Plans	$36	107%
Geo Group Chc Az State Prison-All Plans	$50	148%
Health Choice- All Other Plans	$83	246%
Blue Cross Blue Shield	$101	299%
Health Plan Of Nevada-All Other Plans	$107	317%
Aetna	$110	326%
Health Choice Hie Exchange	$142	421%
Multiplan-All Plans	$142	421%
Cigna	$160	474%
Three Rivers-All Plans	$164	486%
America'S Choice Provider Network-All Plans	$169	501%
Apipa - Ahcccs-All Other Plans	$178	528%
Az Foundation-All Plans	$178	528%
Health Choice Az	$178	528%
Mediversal-All Plans	$178	528%
One Health Plan-All Plans	$178	528%
Universal Health-All Plans	$178	528%
Care 1St Mcaid	$187	554%
Mercy Care Ahcccs Ddd	$196	581%

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 $62.
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 Kingman Regional Medical Center 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.