CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Montgomery County Memorial 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 $81 Hospital's list price $115
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 | $60 | 178% |
| Blue Cross Blue Shieldmajor | $74 - $166 | 219% |
| Aetnamajor | $109 | 323% |
| Medica | $60 - $98 | 178% |
Self-Pay How to get the cash price
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Other Procedures at Montgomery County Memorial 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.