CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $66
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Banner - University Medical Center Tucson Campus is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.96x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $26 (77%)
Insurance Median: $66 (196%)
Cash: $26 (77% of Medicare)
Ins. Median: $66 (196% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $26 - $81 77%
Arizona Physicians Ipa $31 92%
Health Net $31 - $70 92%
Mercy Care $31 92%
Health Choice Arizona, Inc. $39 - $64 116%
University Of Arizona (Kasser Medical Treatment Center) $45 133%
Arizona Priority Care $52 154%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $58 172%
Plotkin Health $58 172%
Oscar Health Plan $64 190%
Quiktrip Corporation $70 208%
Provider Network Of America $97 288%
Arizona Medical Network $103 305%
Blue Cross Blue Shield $124 - $166 368%
Cigna $225 667%
UnitedHealthcare $268 795%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 North Campbell Avenue, Tucson, AZ 85719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals