CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $137
Cash Discount Price: $139
vs. Medicare Baseline: 4.06x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Uchealth Pikes Peak Regional Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 4.06x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $139 (412%)

Insurance Median: $137 (406%)

Cash: $139 (412% of Medicare)

Ins. Median: $137 (406% 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 406% of the Medicare baseline (a markup of 306%). 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	$44 - $143	130%
Blue Cross Blue Shield	$44 - $350	130%
Cigna	$44 - $139	130%
Cms	$44	130%
Devoted Health	$44	130%
Humana	$44	130%
Kaiser	$44 - $148	130%
Select Health	$44 - $174	130%
UnitedHealthcare	$44 - $207	130%
Simplified Benefits Administration	$80 - $88	237%
Kaiser Public Option	$104	308%
Kaiser Kp Select	$125	371%
Multiplan/Phcs	$137	406%
First Health	$148	439%
Rocky Mountain Health Plan	$148	439%

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 $139.
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 Uchealth Pikes Peak Regional Hospital 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.