CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: St Josephs Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $34 Medicare rate · typically $32–$69
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $34 This hospital $33 Cash price $154 Hospital's list price $214

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $33

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $34 (about 1.0× the $34 Medicare rate). St Josephs Hospital charges insurers about $33, or about $154 in cash — about the fair price. Located in Breese, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $33 - $214 98%
Blue Cross Blue Shieldmajor $33 98%
Aetnamajor $33 - $150 98%
Cignamajor $214 634%
Humanamajor $33 98%
HealthLink $177 525%
Meridian $34 101%
Molina $31 - $33 92%
+ 16 smaller / regional plans $33 - $214
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 9515 Holy Cross Ln, Breese, IL 62230
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals