Physical therapy (functional capacity test)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $62
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.84x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Hooray Health [8000] | $62 | 184% |
| Lucent Health [6000] | $62 | 184% |
| Oncology Patient Assistance Programs [2295] | $62 | 184% |
| Healthcare Highways [2210] | $62 | 184% |
| Web Tpa [2115] | $62 | 184% |
| Blue Cross Blue Shield | $62 | 184% |
| Black Lung [6055] | $62 | 184% |
| Aetna | $62 | 184% |
| Department Of Corrections [1340] | $75 | 222% |
| Cigna | $87 | 258% |
| Healthpartners [1500] | $87 | 258% |
| American Postal Workers Union [1070] | $87 | 258% |
| National Association Of Letter Carriers [1695] | $87 | 258% |
| Humana | $88 | 261% |
| 1199 Seiu Benefit Fund [3505] | $101 | 299% |
| Administrative Concepts [1005] | $117 | 347% |
| First Health [1375] | $117 | 347% |
| Multiplan [1680] | $117 | 347% |
| American Healthcare [1055] | $117 | 347% |
| Coventry Healthcare [1320] | $123 | 365% |
| Ks Disability Determination [6090] | $150 | 445% |
Consumer Guidance & Cost Commentary
For this physical therapy functional capacity test at the University of Kansas Health System - St Francis Campus, the facility's cash price of $45.00 is significantly lower than the state average of $150.00, which is also the median amount paid by insurance plans. While the facility is a voluntary non-profit church-owned acute care hospital in Topeka, KS, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, so comparing directly to the cash price or Medicare benchmark of $33.73 provides a clearer picture of the true cost.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected ancillary services or out-of-network providers could still trigger additional charges. To avoid surprise bills, consumers should request a full itemized CPT-coded bill before paying any invoice, as summary bills often obscure individual line items and code unbundling. Additionally, since the facility offers a cash price well below the median negotiated rate of $62.00, patients should explicitly ask for self-pay or prompt-pay discounts prior to scheduling to bypass costly claims processing and secure immediate liquidity benefits.