Physical therapy (functional capacity test)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $60
- Cash Discount Price: $20
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| UnitedHealthcare | $31 - $92 | 92% |
| Humana | $31 | 92% |
| Workers Comp [503999901] | $31 - $92 | 92% |
| Ku Athletics [503200094] | $31 | 92% |
| Blue Cross Blue Shield | $32 | 95% |
| Allwell [503200078] | $32 | 95% |
| Medicare (plans) | $32 | 95% |
| Centurion [5032000966] | $41 | 122% |
| Wppa [503200056] | $42 | 125% |
| Meritain Health [503200039] | $42 - $60 | 125% |
| Alt Wppa [5032000964] | $42 | 125% |
| Ambetter / Centene | $46 | 136% |
| Alt Carelon Behavioral Health [503200905] | $50 | 148% |
| Cigna | $60 - $80 | 178% |
| Php [503200005] | $60 | 178% |
| National Assn Letter Carriers [503200019] | $60 | 178% |
| Aha-Healthcare Preferred [503200050] | $60 | 178% |
| Alt Meritain Health [503999911] | $60 | 178% |
| First Health [5032000110] | $60 | 178% |
| Allied National [503999937] | $60 | 178% |
| Aetna | $60 | 178% |
| Correct Care Solutions [50311253] | $70 | 208% |
| 6 Degrees Health [503999050] | $79 | 234% |
| Occunet [503999930] | $90 | 267% |
| Usa Managed Care [503999030] | $90 | 267% |
| Fort Hays State Student Athletes [5032000960] | $90 | 267% |
| Geha [503200036] | $92 | 273% |
| Medica [503200074] | $92 | 273% |
| Advanced Medical Pricing Solutions [503301513] | $94 | 279% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 385% |
Consumer Guidance & Cost Commentary
For the Physical therapy (functional capacity test) service, the facility's cash median rate of $20.00 is significantly lower than the Medicare benchmark of $33.73 and the negotiated average of $60.00. While commercial payers like UnitedHealthcare and Cigna negotiate rates ranging from $31 to $92, these amounts often exceed the cash price, meaning patients with high-deductible plans may save money by paying out-of-pocket. It is important to note that while the facility is an Acute Care Hospital in Great Bend, KS, the provided data does not include specific county or state average comparisons for this procedure, so the Medicare rate serves as the primary objective baseline for evaluating pricing fairness.
Patients should be aware that insurance negotiated rates can sometimes be higher than cash prices due to administrative costs and contract structures, and they should verify their deductible status before scheduling to avoid unexpected out-of-pocket expenses. If you choose to pay directly, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, if you have insurance, ensure you are not inadvertently signing waivers that could lead to balance billing, as federal protections like the No Surprises Act may prevent surprise charges for out-of-network services at in-network facilities. Always request a detailed, itemized bill to review specific CPT codes and identify any potential errors before finalizing payment.