CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Fairview Park Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $104
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Fairview Park Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 3.08x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $305 (904%)
Insurance Median: $104 (308%)
Cash: $305 (904% of Medicare)
Ins. Median: $104 (308% 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 308% of the Medicare baseline (a markup of 208%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Health Net $27 - $31 80%
Aetna $28 - $464 83%
Devoted Health $28 - $32 83%
Healthspring $28 - $32 83%
Hospice Care Options $28 - $32 83%
Humana $28 - $32 83%
Southern Care Birmingham $28 - $32 83%
United $28 - $378 83%
Blue Cross Blue Shield $29 - $33 86%
Clover $29 - $33 86%
Coventry $29 - $32 86%
Eon Health $29 - $33 86%
Georgia Assurance $29 - $33 86%
Shared Health $29 - $33 86%
Wellcare $29 - $168 86%
Amerigroup $38 - $113 113%
Ambetter / Centene $42 - $123 125%
Ryan White Care Act $42 - $48 125%
Friday Health $43 - $126 127%
Nhc Advantage $54 - $160 160%
Pruitt Health $54 - $160 160%
Peach State $57 - $168 169%
Memorial Health Plan $63 - $378 187%
Cigna $78 - $305 231%
Centurion $79 - $233 234%
Americas 1St Choice $80 - $235 237%
Leavitt Risk Partners $86 - $252 255%
Health One Alliance $132 - $387 391%
Dodge County Hospital $143 - $420 424%
American Steel Products $244 - $715 723%
City Of Eastman $244 - $715 723%
Dodge Co Board Of Commissioners $244 - $715 723%
Graham Brothers Construction $244 - $715 723%
Multiplan $258 - $757 765%
Novanet $258 - $757 765%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Industrial Boulevard, Dublin, GA 31021
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals