CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Shenandoah Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$102
about 3.0× the $34 Medicare rate · typically $34–$198
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $102 Cash price $90 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.

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 $32 - $136 95%
Blue Cross Blue Shieldmajor $216 640%
Aetnamajor $47 - $133 139%
Amerigroup $47 139%
Molina $46 - $47 136%
WellCare $47 139%
+ 3 smaller / regional plans $46
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Pershing Avenue, Shenandoah, IA 51601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals