CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Benson Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$212
about 6.2× the $34 Medicare rate · typically $52–$232
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $212 Cash price $26 Hospital's list price $55

How we calculate the fair BaseRate →

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 $16 - $48 47%
Blue Cross Blue Shieldmajor $16 - $236 47%
Aetnamajor $16 - $36 47%
Cignamajor $45 - $54 133%
Humanamajor $16 - $19 47%
Banner Health $16 - $19 47%
+ 1 smaller / regional plan $16 - $19

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 450 South Ocotillo Avenue, Benson, AZ 85602
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals