CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: St Mary's Hospital
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$93
about 2.7× the $34 Medicare rate · typically $32–$158
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $93 Cash price $120 Hospital's list price $160
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 | $131 | 388% |
| Blue Cross Blue Shieldmajor | $114 - $160 | 338% |
| Aetnamajor | $131 - $149 | 388% |
| GEHA | $155 | 460% |
| + 4 smaller / regional plans | $133 - $157 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Mary's Hospital
Compare: Physical therapy (functional capacity test) at other ID hospitals
- West Valley Medical Center · Caldwell $32
- Eastern Idaho Regional Medical Center · Idaho Falls $32
- Kootenai Health · Coeur D'Alene $32
- Treasure Valley Hospital · Boise $32
- Mountain View Hospital · Idaho Falls $32
- Northwest Specialty Hospital · Post Falls $32
- Grove Creek Medical Center · Blackfoot $32
- Idaho Falls Community Hospital, LLC · Idaho Falls $32
Insurance negotiated median for the same procedure, sorted lowest first.