Physical therapy (functional capacity test)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $32
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Medicare (plans) | $31 - $32 | 92% |
| Va | $31 | 92% |
| Via Christi Research | $31 | 92% |
| Vc Hope | $31 | 92% |
| Saint Lukes Health Systems | $31 | 92% |
| Humana | $31 | 92% |
| Blue Cross Blue Shield | $32 | 95% |
| UnitedHealthcare | $32 - $88 | 95% |
| Corizon | $39 | 116% |
| Smarthealth | $44 | 130% |
| Medicaid / KanCare | $53 | 157% |
| Mdsave | $70 | 208% |
Consumer Guidance & Cost Commentary
For the CPT code 97750, representing a physical therapy functional capacity test at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $31 to $88 depending on the payer. The median negotiated amount is $32, which aligns closely with the lowest end of the observed spectrum across most payers, including Medicare plans, VA, and several Kansas-based insurers. While the facility is located in Wichita, KS, the data does not provide specific county or state average figures for direct comparison; however, the facility's ownership as a voluntary non-profit private hospital suggests a standard pricing structure typical of the region. It is important to note that while commercial negotiated rates often exceed cash prices, the cash median and median paid values for this service are currently unavailable in the dataset, so patients should verify current cash rates directly with the hospital.
Patients should be aware that commercial negotiated rates frequently include administrative overhead and contract premiums that can inflate the final cost compared to a direct cash payment. Although the facility offers a prompt-pay discount for upfront payments, the specific percentage reduction is not listed in the provided data, so patients must inquire directly about self-pay or prompt-pay incentives before scheduling. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, meaning they should not feel pressured to sign away their rights to dispute unexpected charges. If a patient receives an itemized bill, they are encouraged to request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through formal written dispute.