CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Monroe 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 $66 Hospital's list price $110

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✓ Humana CignaKaiser 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 $46 - $104 136%
Blue Cross Blue Shieldmajor $47 - $200 139%
Aetnamajor $47 - $103 139%
Humanamajor $47 139%
Amerigroup $47 - $57 139%
GEHA $88 261%
Molina $56 166%
+ 5 smaller / regional plans $46 - $107
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6580 165Th Street, Albia, IA 52531
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals