CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: St Francis Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.6× the $34 Medicare rate · typically $32–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $4 under the fair price · 1.4× Medicare
Medicare pays $34 Fair price $53 This hospital $49 Cash price $70 Hospital's list price $97

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 $49

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 $53 (about 1.6× the $34 Medicare rate). St Francis Hospital charges insurers about $49, or about $70 in cash — about the fair price. Located in Litchfield, 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 $21 - $97 62%
Blue Cross Blue Shieldmajor $20 - $22 59%
Aetnamajor $21 - $68 62%
Cignamajor $97 288%
Humanamajor $20 59%
HealthLink $83 246%
Meridian $49 145%
Molina $21 - $47 62%
+ 15 smaller / regional plans $20 - $97
Excludes 5 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: 1215 Franciscan Dr, Litchfield, IL 62056
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals