CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Monterey Park Hospital
Billing Code: 97750 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97750
- Insurance Median: $60
- Cash Discount Price: $428
- vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Monterey Park Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.78x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$428
Average discount available for prompt cash payment at this facility.
Insurance Median
$60
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: $428 (1269%)
Insurance Median: $60 (178%)
Cash: $428 (1269% of Medicare)
Ins. Median: $60 (178% 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 Ipa Ancillary | $12 - $37 | 36% |
| Accountable Ipa | $12 | 36% |
| Ahmc Healthcare Inc | $12 - $142 | 36% |
| Allied Physicians | $12 - $56 | 36% |
| Alta Med Health Services Corp | $12 - $118 | 36% |
| Altamed Health Network | $12 - $37 | 36% |
| Altamed Health Services | $12 | 36% |
| Applecare Medical Group | $12 - $30 | 36% |
| Assess Ipa | $12 | 36% |
| Associated Hispanic Physicians Ancillary | $12 - $29 | 36% |
| Beverly Hospital | $12 - $41 | 36% |
| Blue Cross Blue Shield | $12 - $237 | 36% |
| Brand New Day | $12 - $47 | 36% |
| Care 1St Mcl/Gar Cap | $12 | 36% |
| Community Health Plan | $12 | 36% |
| Esperanza Medical Group Ipa | $12 - $60 | 36% |
| Family Health Alliance Medical Group | $12 - $60 | 36% |
| Health Net Medi Cal | $12 | 36% |
| Healthnet Inc | $12 | 36% |
| Healthy Way La | $12 | 36% |
| La Care | $12 - $38 | 36% |
| La Care Health Plan | $12 - $261 | 36% |
| Medical Managed Care Program | $12 | 36% |
| Molina Healthcare | $12 | 36% |
| Other Non-Contracted Medi-Cal | $12 | 36% |
| Preferred Ipa | $12 - $47 | 36% |
| Preferred Ipa Of California | $12 | 36% |
| Alhambra Community Dialysis Unit Inc | $15 - $284 | 44% |
| Aids Health Foundation | $16 - $37 | 47% |
| Avanti | $16 - $45 | 47% |
| Bella Vista Medical Group Ancillary | $16 | 47% |
| Central Health Plan | $16 | 47% |
| Emanate Health | $16 - $47 | 47% |
| Hollywood Presbyterian Adv Med Mcal | $16 | 47% |
| Hollywood Presbyterian Medpoint Mcal | $16 | 47% |
| Maxi Med Inc/Ipa | $16 - $38 | 47% |
| Medi Cal | $16 | 47% |
| Pacific Independent Physician Association | $16 - $60 | 47% |
| Caloptima Direct | $24 | 71% |
| Veterans Administration | $26 | 77% |
| Bella Vista Medical Group | $30 - $142 | 89% |
| Senior Citizens Choice | $33 | 98% |
| Aetna | $37 - $345 | 110% |
| Alignment Health Plan | $37 | 110% |
| Apa/Aco Inc | $37 | 110% |
| Blue Shield Of California | $37 - $433 | 110% |
| Cms | $37 | 110% |
| Easy Choice Health Plan | $37 | 110% |
| First Health Senior | $37 | 110% |
| Foundation Health Plan | $37 | 110% |
| Health Net | $37 - $135 | 110% |
| Health Net Inc | $37 - $234 | 110% |
| Humana | $37 | 110% |
| Medicare (plans) | $37 - $39 | 110% |
| Scan Health Plan | $37 | 110% |
| Secure Horizons | $37 | 110% |
| Ucla/Impact Cancer | $37 | 110% |
| UnitedHealthcare | $37 - $332 | 110% |
| Altamed Health Services Corporation | $38 - $47 | 113% |
| Care 1St M Cal | $38 - $47 | 113% |
| Crown City Medical Group Inc | $38 - $47 | 113% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $38 | 113% |
| La Care Covered Direct | $38 | 113% |
| Physician Healthways | $38 - $55 | 113% |
| Self-Pay | $38 | 113% |
| Universal Care M Cal/Advantage Health Network | $38 - $47 | 113% |
| Molina Healthcare Medi-Connect | $39 | 116% |
| San Miguel Health Plan | $41 | 122% |
| Preferred Health Network | $43 - $379 | 127% |
| Interplan | $44 - $356 | 130% |
| Asi Flex Ppo W/C | $46 | 136% |
| Athens Administrators | $46 | 136% |
| Indemnity W Comp Fee Schedule | $46 | 136% |
| Multiplan | $46 - $403 | 136% |
| Ahmc Health Epo | $47 | 139% |
| Knox-Keene Act | $47 | 139% |
| Molina Healthcare Of California | $47 | 139% |
| Garfield Medical Center | $54 | 160% |
| Allied Physicians Ipa | $60 | 178% |
| Employee Health Systems Medical Group | $76 - $95 | 225% |
| Global Care Medical Group Ipa | $76 - $213 | 225% |
| Healthnet/Ehs Capitation | $76 - $95 | 225% |
| Hispanic Physicians Ipa Medical Corporation | $95 - $118 | 282% |
| Health Net Of California | $112 - $283 | 332% |
| Ahmc Reciprocity Agreement Senior/Commercial | $114 - $142 | 338% |
| Community Health Plan M Cal Joy Ipa | $114 - $142 | 338% |
| Tenet Reciprocity | $114 - $142 | 338% |
| Healthcare Partners Affiliates Medical Group | $136 - $169 | 403% |
| Molina Medical Centers | $149 - $185 | 442% |
| Central Health Plan Of California | $152 - $190 | 451% |
| Pacificare | $219 - $263 | 649% |
| Care 1St Health Plan | $229 - $284 | 679% |
| Greater Los Angeles Dialysis Inc | $229 - $284 | 679% |
| One Health Plan | $229 - $775 | 679% |
| Choice Care Network | $248 - $308 | 735% |
| Healthnet | $248 - $308 | 735% |
| Universal Care | $267 - $332 | 792% |
| Corvel Corporation | $305 - $925 | 904% |
| Bce Emergis Corp | $324 - $403 | 961% |
| Commercial Non Contract | $381 - $474 | 1130% |
| Mri/Ct Greater El Monte Hospital | $381 - $474 | 1130% |
| Mri/Mra/Alhambra Hospital | $381 - $474 | 1130% |
| Mri/Mra/Eladh | $381 - $474 | 1130% |
| One Legacy | $381 - $474 | 1130% |
| Cigna | $525 | 1556% |