CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Decatur County Hospital
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$108
about 3.2× the $34 Medicare rate · typically $36–$187
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $108 Cash price $82 Hospital's list price $103
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $62 - $88 | 184% |
| Blue Cross Blue Shieldmajor | $33 - $136 | 98% |
| Aetnamajor | $56 - $81 | 166% |
| Cignamajor | $89 | 264% |
| Humanamajor | $75 | 222% |
| Amerigroup | $108 | 320% |
| HealthPartners | $95 | 282% |
| Medica | $82 | 243% |
| Medical Mutual | $91 | 270% |
| Priority Health | $103 | 305% |
| + 17 smaller / regional plans | $54 - $105 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Decatur County Hospital
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.