Physical therapy (functional capacity test)
Facility: Via Christi Hospital Wichita St Teresa, 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 |
|---|---|---|
| Via Christi Research | $31 | 92% |
| Va | $31 | 92% |
| Humana | $31 | 92% |
| Vc Hope | $31 | 92% |
| Medicare (plans) | $31 - $32 | 92% |
| Saint Lukes Health Systems | $31 | 92% |
| Blue Cross Blue Shield | $32 | 95% |
| UnitedHealthcare | $32 - $88 | 95% |
| Corizon | $39 | 116% |
| Smarthealth | $44 | 130% |
| Medicaid / KanCare | $53 | 157% |
Consumer Guidance & Cost Commentary
For the physical therapy functional capacity test (CPT 97750) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates across 11 payers range from $31 to $88, with a median negotiated amount of $32.00. This facility is located in Wichita, Kansas, and operates as a voluntary non-profit acute care hospital. While the data does not provide specific county or state average figures for comparison, the facility's Medicare benchmark rate is $33.73. Patients should note that commercial negotiated rates often include administrative overhead for claims processing, which can make them higher than the cash price; however, since the cash median is not available in this dataset, patients are encouraged to directly inquire about self-pay or prompt-pay discounts before scheduling to ensure they are not paying the full negotiated amount.
The facility's pricing structure reflects standard industry dynamics where in-network contracts set a ceiling on charges, but these rates can sometimes exceed the true cost of care represented by Medicare benchmarks. For instance, UnitedHealthcare's range for this service spans from $31 to $88, highlighting significant variation based on plan specifics. To optimize costs, patients should verify their deductible status before relying on insurance, as paying out-of-pocket may be more cost-effective if the negotiated rate exceeds the cash price. Additionally, because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, and they should formally dispute any discrepancies in writing to avoid unnecessary debt.