CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Adventist Health White Memorial
Billing Code: 97750 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97750
- Insurance Median: $45
- Cash Discount Price: $75
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Adventist Health White Memorial is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.33x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$75
Average discount available for prompt cash payment at this facility.
Insurance Median
$45
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: $75 (222%)
Insurance Median: $45 (133%)
Cash: $75 (222% of Medicare)
Ins. Median: $45 (133% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Medi-Cal | $16 | 47% |
| Ahp Medi-Cal | $16 | 47% |
| Alta Los Angeles Mcal 1/1/19 | $16 | 47% |
| Avanti Mcal | $16 | 47% |
| Healthcare Inc Medi-Cal | $16 | 47% |
| Lasalle Mg Medi-Cal | $16 | 47% |
| Medi-Cal | $16 | 47% |
| Molina Medi-Cal | $16 | 47% |
| Pacific Alliance Medi-Cal | $16 | 47% |
| Pacific Ipa Medi-Cal | $16 | 47% |
| Preferred Ipa La Care Mcal Cap | $16 | 47% |
| Preferred Medi-Cal | $16 | 47% |
| Altamed Medi-Cal - All Other Plans | $19 | 56% |
| Fcs Ipa Medi-Cal Op/Profee Only | $20 | 59% |
| Healthnet Mcal | $20 | 59% |
| Bc Medi-Cal | $21 | 62% |
| Preferred Healthy | $21 | 62% |
| Assoc Hispanic Physcns Mcal | $23 | 68% |
| Access Group | $32 | 95% |
| Ahp - All Other Plans | $32 | 95% |
| Lasalle Mg Commercial - All Other Plans | $32 | 95% |
| Access Senior - All Other Plans | $38 | 113% |
| Ahp Senior | $38 | 113% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $38 | 113% |
| Altamed Connect | $38 | 113% |
| Avanti Mcr Adv - All Other Plans | $38 | 113% |
| Brand New Day Mcare - All Plans | $38 | 113% |
| Bs Va Mcare | $38 | 113% |
| Care First Mcare - All Other Plans | $38 | 113% |
| Clever Care - All Plans | $38 | 113% |
| Fcs Ipa Mcr Advan Op/Profee Only | $38 | 113% |
| Humana | $38 | 113% |
| Lasalle Mg Senior | $38 | 113% |
| Medicare (plans) | $38 | 113% |
| Molina Mcare | $38 | 113% |
| Pacific Alliance Mcare - All Other Plans | $38 | 113% |
| Preferred Senior | $38 | 113% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $38 | 113% |
| Tricare | $38 | 113% |
| UnitedHealthcare | $38 - $199 | 113% |
| Blue Cross Blue Shield | $39 - $549 | 116% |
| Fcs Ipa Op/Profee Only - All Other Plans | $39 | 116% |
| Blue Shield Medi-Cal | $41 | 122% |
| Bright Health - All Plans | $43 | 127% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $45 | 133% |
| Preferred Commercial - All Other Plans | $45 | 133% |
| Intergrated Medical - All Plans | $49 | 145% |
| Molina Benefit Exchange - All Other Plans | $51 | 151% |
| Php-Prospect Health Plan Cap - All Plans | $56 | 166% |
| Care First Medi-Cal | $58 | 172% |
| Ah Employee Health Plan - All Plans | $68 | 202% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $80 | 237% |
| Bella Vista Medi-Cal Op/Profee Only | $80 | 237% |
| Centivo - All Plans | $85 | 252% |
| Blue Shield Mcr Adv | $105 | 311% |
| Caremore Mcare - All Plans | $154 | 457% |
| Pacific Ipa - All Other Plans | $158 | 468% |
| Kaiser- All Plans | $170 | 504% |
| Cigna | $176 | 522% |
| Healthnet - All Other Plans | $188 | 557% |
| Healthnet Comm Care | $194 | 575% |
| Aetna | $202 | 599% |
| Hcpamg - All Plans | $208 | 617% |
| Healthcare Inc - All Other Plans | $228 | 676% |
| La Care Mcr Adv - All Plans | $228 | 676% |
| First Heatlh Ppo - All Plans | $241 | 714% |
| Phcs Ppo - All Plans | $270 | 800% |
| Scan Health Mcare - All Plans | $270 | 800% |
| Ahf - All Plans | $311 | 922% |
| Beech Street - All Plans | $311 | 922% |
| Interplan Ppo - All Plans | $311 | 922% |
| Corvel Corp - All Plans | $332 | 984% |
| Western Growers/Pinnacle - All Plans | $341 | 1011% |
| Multiplan Ppo - All Plans | $344 | 1020% |
| Healthmannet - All Plans | $353 | 1047% |
| Next Inc Ppo - All Plans | $353 | 1047% |
| Trpn - All Plans | $353 | 1047% |
| Fpn Ppo - All Plans | $374 | 1109% |
| Blue Shield Epn | $460 | 1364% |
| Blue Shield - All Other Plans | $530 | 1571% |
| Healthnet Mcr Adv | $635 | 1883% |