CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Van Buren County Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$113
about 3.3× the $34 Medicare rate · typically $36–$189
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $113 Cash price $97 Hospital's list price $139

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $66 - $159 196%
Blue Cross Blue Shieldmajor $139 - $153 412%
Aetnamajor $74 - $138 219%
Cignamajor $113 - $157 335%
HealthPartners $81 - $113 240%
Oscar Health $99 - $139 294%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 304 Franklin Street, Keosauqua, IA 52565
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals