CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Labette Health

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $43
Cash Discount Price: $72
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Labette Health is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.27x the Medicare baseline. Located in 1902 South Us Hwy 59, Parsons, KS.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $72 (213%)

Insurance Median: $43 (127%)

Cash: $72 (213% of Medicare)

Ins. Median: $43 (127% 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
Uhccp	$16	47%
Medicaid / KanCare	$18 - $46	53%
Healthy Blue	$18	53%
Ambetter / Centene	$26 - $49	77%
Montgomery County	$34	101%
UnitedHealthcare	$43 - $97	127%
Blue Cross Blue Shield	$43 - $54	127%
Wellcare	$43	127%
Humana	$43	127%
Multiplan	$88	261%
Health Partners Of Kansas, Inc	$93	276%
Choicecare (First Health Network)	$93	276%

Consumer Guidance & Cost Commentary

For the CPT code 97750, representing a physical therapy functional capacity test, Labette Health in Parsons, KS, lists a gross charge of $103.00. The facility's negotiated rates range from $16 to $97 depending on the payer, with the lowest allowed amount being $16 from Uhccp and the highest at $97 from UnitedHealthcare. The cash-pay median is $72.00, which is notably lower than the facility's negotiated rates for most commercial payers. While the facility is a government-owned acute care hospital, patients should verify their specific plan's allowed amount before scheduling, as in-network rates can vary significantly by carrier.

To determine the best financial option, compare your situation to the state and county averages. The cash price of $72.00 is higher than the state average but lower than the facility's negotiated rates for many insurers. If you have a high-deductible plan, paying the cash price upfront may be more cost-effective than paying the higher negotiated rate, provided you have not yet met your deductible. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.

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 $72.
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 Labette Health 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.