CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Lutheran Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 1.4× the $34 Medicare rate · typically $34–$112
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $12 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $46 This hospital $34 Hospital's list price $132

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

One of the lower prices — 0 of 8 other CO hospitals charge more for the same procedure.

Cheapest $32 Priciest $34

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

A fair price for a Physical therapy (functional capacity test) is about $46 (about 1.4× the $34 Medicare rate). Lutheran Medical Center charges insurers about $34 — below the fair price — a good deal. Located in Wheat Ridge, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $34 - $77 101%
Blue Cross Blue Shieldmajor $52 - $111 154%
Aetnamajor $49 - $118 145%
Cignamajor $33 - $132 98%
Humanamajor $55 163%
Kaiser Permanentemajor $24 - $56 71%
GEHA $53 - $77 157%
SelectHealth $34 101%
+ 5 smaller / regional plans $33 - $99
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: 8300 W 38Th Ave, Wheat Ridge, CO 80033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals