CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $95
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 2.82x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at The Orthopaedic Hospital of Lutheran Health Networ is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.82x the Medicare baseline. Located in 7952 W Jefferson Blvd, Ft Wayne, IN.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $89 (264%)
Insurance Median: $95 (282%)
Cash: $89 (264% of Medicare)
Ins. Median: $95 (282% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 282% of the Medicare baseline (a markup of 182%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Physicians Health Plan $20 - $135 59%
Amish Aid $23 - $94 68%
Self Pay $23 - $94 68%
Lutheran Preferred $25 - $209 74%
Theramatrix $25 74%
Php Freedom Network $26 - $64 77%
Cigna $29 - $349 86%
UnitedHealthcare $29 - $186 86%
Align Network $30 89%
Tricare $30 89%
Aetna $32 - $169 95%
Blue Cross Blue Shield $32 - $186 95%
Department Of Veterans Affairs $32 95%
Humana $32 - $186 95%
Iu Health Plan $32 95%
Medicare (plans) $32 95%
Node Devoted Health Mcr Adv $32 95%
Node Hospice Non Par Agree $32 95%
Node Mhs Mcr Adv $32 95%
Node Va $32 95%
One Call Work Comp $32 95%
Small Business Aid $32 95%
Police And Sheriff $33 98%
In Dept Of Correction $34 101%
Node Pphp Mcr Adv $34 101%
Three Rivers Preferred $34 - $157 101%
Sagamore $40 - $168 119%
Encore Ppo $42 - $174 125%
Lutheran Advanced Network $48 142%
Node Lutheran Three Rivers Preferred Plus 150 $48 142%
Occunet In Work Comp $48 - $80 142%
Node Us Dept Of Labor $50 148%
Node Lutheran Three Rivers Preferred Plus 175 $56 166%
Encore Wc $58 172%
Medrisk In Work Comp $58 172%
Multiplan $58 - $272 172%
Prime Health Services $58 - $262 172%
Three Rivers Preferred In Work Comp $58 172%
Objective Surgical $63 187%
In Work Comp $64 190%
Lutheran Network $64 190%
Managed Health Services $64 - $186 190%
First Health $65 - $269 193%
Encore $67 - $279 199%
Encore Kba Epo $77 228%
Encore Kba Ppo $97 288%
Medicaid / KanCare $143 - $186 424%
Caresource $186 551%
Mhs $186 551%
Objective Surgery Work Comp $1,250 3706%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7952 W Jefferson Blvd, Ft Wayne, IN 46804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals