CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $34 Medicare rate · typically $34–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $2 under the fair price · 1.1× Medicare
Medicare pays $34 Fair price $38 This hospital $36 Cash price $34 Hospital's list price $118

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 $36

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

A fair price for a Physical therapy (functional capacity test) is about $38 (about 1.1× the $34 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $36, or about $34 in cash — about the fair price. Located in Chicago, 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 $34 - $43 101%
Blue Cross Blue Shieldmajor $33 - $48 98%
Aetnamajor $34 - $81 101%
Cignamajor $34 101%
Humanamajor $34 - $45 101%
Ambetter (Centene) $56 166%
Devoted Health $34 101%
Health Net $41 122%
HealthPartners $34 - $40 101%
Meridian $36 - $48 107%
Molina $35 - $52 104%
WellCare $34 101%
+ 11 smaller / regional plans $34 - $118
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2233 W Division St, Chicago, IL 60622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals