CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Northside Hospital Duluth

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.3× the $34 Medicare rate · typically $34–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $34 Fair price $44 This hospital $45 Cash price $185 Hospital's list price $247

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 $45

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $44 (about 1.3× the $34 Medicare rate). Northside Hospital Duluth charges insurers about $45, or about $185 in cash — about the fair price. Located in Duluth, 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 - $175 98%
Blue Cross Blue Shieldmajor $33 - $172 98%
Aetnamajor $33 - $168 98%
Cignamajor $38 - $156 113%
Humanamajor $33 - $34 98%
Kaiser Permanentemajor $34 - $215 101%
Ambetter (Centene) $31 - $116 92%
Amerigroup $31 - $44 92%
CareSource $32 - $92 95%
Clover Health $34 101%
Health Net $153 454%
Oscar Health $116 344%
WellCare $34 101%
+ 22 smaller / regional plans $31 - $247
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals