CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Parkview Medical Center, Inc

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $76
Cash Discount Price: $60
vs. Medicare Baseline: 2.25x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Parkview Medical Center, Inc is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.25x the Medicare baseline. Located in 400 W 16Th St, Pueblo, CO.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $60 (178%)

Insurance Median: $76 (225%)

Cash: $60 (178% of Medicare)

Ins. Median: $76 (225% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 225% of the Medicare baseline (a markup of 125%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$34 - $166	101%
Blue Cross Blue Shield	$34 - $314	101%
Cms	$34	101%
Humana	$34	101%
Kaiser	$34 - $250	101%
Select Health	$34 - $77	101%
UnitedHealthcare	$34 - $87	101%
Cigna	$38 - $476	113%
Simplified Benefits Administration	$39 - $40	116%
Denver Health Medical Plan	$74	219%
Multiplan/Phcs	$91	270%
Rocky Mountain Health Plans	$98	291%
First Health	$103	305%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $60.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkview Medical Center, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.