CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Grady Memorial Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $33–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $35 This hospital $33

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $33

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

A fair price for a Physical therapy (functional capacity test) is about $35 (about 1.0× the $34 Medicare rate). Grady Memorial Hospital charges insurers about $33 — about the fair price. Located in Atlanta, GA.

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 $33 98%
Blue Cross Blue Shieldmajor $33 98%
Aetnamajor $33 98%
Cignamajor $33 - $160 98%
Humanamajor $33 98%
Kaiser Permanentemajor $33 98%
Ambetter (Centene) $33 98%
Amerigroup $21 62%
CareSource $21 - $53 62%
Clover Health $35 104%
Oscar Health $47 - $55 139%
WellCare $33 98%
+ 1 smaller / regional plan $35
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals