CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Clarinda Regional Health Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$92
about 2.7× the $34 Medicare rate · typically $35–$174
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $92 Cash price $96 Hospital's list price $162
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 | $78 - $154 | 231% |
| Blue Cross Blue Shieldmajor | $79 - $130 | 234% |
| Aetnamajor | $152 | 451% |
| Ambetter (Centene) | $78 - $84 | 231% |
| Amerigroup | $162 | 480% |
| GEHA | $151 | 448% |
| Molina | $78 | 231% |
| + 1 smaller / regional plan | $85 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Clarinda Regional Health Center
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.