CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Harrison County Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $32
Cash Discount Price: $29
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Harrison County Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 0.95x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $29 (86%)

Insurance Median: $32 (95%)

Cash: $29 (86% of Medicare)

Ins. Median: $32 (95% 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.

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$20 - $32	59%
Blue Cross Blue Shield	$24 - $32	71%
Encore Encircle	$24	71%
Encore Ppo - All Other Plans	$24	71%
Tricare	$30	89%
UnitedHealthcare	$30 - $32	89%
Buckeye Exchange-All Plans	$32	95%
Caresource Mcaid Hhw	$32	95%
Caresource Mcaid Hip	$32	95%
Caresource Mcr Adv	$32	95%
Cigna	$32	95%
Humana	$32 - $40	95%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$32	95%
Mdwise Mcaid Hip	$32	95%
Mhs Exchange-All Other Plans	$32	95%
Mhs Mcaid Hhw/Hcc	$32	95%
Mhs Mcaid Hip	$32	95%
Passport Mcaid-All Other Plans	$32	95%
Passport Mcr Adv	$32	95%
Sagamore-All Plans	$32	95%
Communicare Adv-All Plans	$33	98%
Mhs Mcr Adv	$33	98%
Caresource Exchange-All Other Plans	$34	101%
Siho Exchange	$34	101%
Siho One Southern	$34	101%
Siho Ppo/Hmo - All Other Plans	$34	101%
Beech Street Comm-All Plans	$41	122%
First Health-All Plans	$41	122%
Multiplan-All Plans	$43	127%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $29.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.