CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Northwest Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $34 Medicare rate · typically $33–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $4 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $38 This hospital $34 Cash price $64 Hospital's list price $213

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 0 charge more and 5 charge less, among the 9 AZ hospitals compared.

Cheapest $33 Priciest $34

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

A fair price for a Physical therapy (functional capacity test) is about $38 (about 1.1× the $34 Medicare rate). Northwest Medical Center charges insurers about $34, or about $64 in cash — below the fair price — a good deal. Located in Tucson, AZ.

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 $33 - $185 98%
Blue Cross Blue Shieldmajor $32 - $161 95%
Aetnamajor $33 - $128 98%
Cignamajor $33 - $300 98%
Humanamajor $33 98%
Ambetter (Centene) $47 139%
Banner Health $34 101%
Clover Health $33 98%
Devoted Health $34 101%
Health Net $52 154%
WellCare $34 101%
+ 11 smaller / regional plans $32 - $76
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals