CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $74
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Southeast Georgia Health System -- Camden Campus is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.19x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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%)

Insurance Median: $74 (219%)

Ins. Median: $74 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
Amerigroup_Community_Care	$21	62%
Caresource_Georgia_Families	$21	62%
Peachstate_Health_Plan	$21	62%
Aetna	$32 - $105	95%
Blue Cross Blue Shield	$32 - $88	95%
Caresource	$32 - $48	95%
Clover_Health	$32	95%
Humana	$32 - $110	95%
UnitedHealthcare	$32	95%
United_Healthcare_Veterans_Administration	$32	95%
Devoted_Health	$33	98%
Pruitthealth	$33	98%
Ambetter / Centene	$51	151%
Sea_Island	$88	261%
Sghs_Meritain	$88	261%
Coventryone_Hix	$94	279%
United_Healthcare	$95	282%
Medishare	$105	311%
Choicecare	$110	326%
Cigna	$110	326%
Industry_Buying_Group_Ibg	$110	326%
First_Health_Southcare	$111	329%
One_Health_Great_West	$111	329%
Pponext	$117	347%

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 $X.
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 Southeast Georgia Health System -- Camden Campus 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.