CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Madison County Health Care System
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.2× the $34 Medicare rate · typically $40–$156
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $75 Cash price $102 Hospital's list price $127
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $55 - $114 | 163% |
| Blue Cross Blue Shieldmajor | $136 - $150 | 403% |
| Aetnamajor | $55 - $83 | 163% |
| Amerigroup | $63 | 187% |
| Molina | $62 | 184% |
| Oscar Health | $82 | 243% |
| + 14 smaller / regional plans | $55 - $127 |
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Madison County Health Care System
Compare: Physical therapy (functional capacity test) at other IA hospitals
- Mary Greeley Medical Center · Ames $29
- Hawarden Regional Healthcare · Hawarden $32
- Unitypoint Health - Marshalltown · Marshalltown $33
- St Lukes Hospital · Cedar Rapids $33
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $33
- Trinity - Bettendorf · Bettendorf $33
- Allen Hospital · Waterloo $33
- Grinnell Regional Medical Center · Grinnell $33
Insurance negotiated median for the same procedure, sorted lowest first.