CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Baptist Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $50
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Baptist Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.48x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $28 (83%)
Insurance Median: $50 (148%)
Cash: $28 (83% of Medicare)
Ins. Median: $50 (148% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $21 - $151 62%
Cha Health Plan $23 68%
UnitedHealthcare $23 - $234 68%
Fl Community Care Ltc $24 71%
Humana $24 - $44 71%
Mh Sunshine Mcaid $24 71%
Staywell $24 71%
Sunshine Health $24 71%
Simply Healthcare Healthy Kids $26 77%
Pensacola $28 83%
Uwf Athletes $37 - $122 110%
Hospice Covenant $43 127%
Medicare (plans) $43 127%
Healthspring Of Fl Al $44 130%
Mh Wellcare $45 133%
Wellcare $45 133%
Hospice Regency $56 166%
Fl Blue $64 - $335 190%
Cigna $89 - $187 264%
Hospice Emerald Coast $94 279%
Escambia $112 332%
Private Healthcare $122 362%
First Health $130 385%
Wc Corvel $133 - $178 394%
Choicecare $140 415%
Mh Choicecare $140 415%
Multiplan $166 492%
Bc Fl $244 723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals