CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Medstar Health Physical Therapy

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $34 Medicare rate · typically $35–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $34 Fair price $38 This hospital $39 Cash price $61 Hospital's list price $94

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

One of the lower prices — 2 of 3 other DC hospitals charge more for the same procedure.

Cheapest $37 Priciest $40

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $38 (about 1.1× the $34 Medicare rate). Medstar Health Physical Therapy charges insurers about $39, or about $61 in cash — about the fair price. Located in Washington, DC.

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 $38 - $239 113%
Blue Cross Blue Shieldmajor $37 - $63 110%
Aetnamajor $38 - $69 113%
Cignamajor $76 - $83 225%
Humanamajor $39 116%
Kaiser Permanentemajor $39 - $77 116%
+ 2 smaller / regional plans $39 - $43
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL