CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Cass County Memorial Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$116
about 3.4× the $34 Medicare rate · typically $37–$166
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $116 Cash price $92 Hospital's list price $132

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 $55 - $120 163%
Blue Cross Blue Shieldmajor $56 - $158 166%
Aetnamajor $55 - $125 163%
Amerigroup $55 163%
Medica $55 - $116 163%
Molina $57 169%
+ 4 smaller / regional plans $57 - $61
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals