CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $90
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 2.67x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Mercy Specialty Hospital Southeast Kansas is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.67x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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: $88 (261%)
Insurance Median: $90 (267%)
Cash: $88 (261% of Medicare)
Ins. Median: $90 (267% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 267% of the Medicare baseline (a markup of 167%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $18 - $41 53%
Medicaid / KanCare $18 - $31 53%
Aetna $29 - $72 86%
UnitedHealthcare $29 - $133 86%
Tricare $31 92%
Qual Choice Contracted [320325] $31 92%
Centivo Contracted [320505] $31 92%
Pace Of The Ozarks Contracted [320518] $31 92%
Medicare (plans) $31 92%
Cigna $31 - $111 92%
Kindful Hospice Contracted [320434] $31 92%
Mercy Hospice Okc [20252] $31 92%
Halo Hcr Inc Hospice Contracted [320432] $31 92%
Dept Of Veteran Affairs Contracted [320106] $31 92%
Cross Timbers Hospice [20098] $31 92%
Kindful Hospice [20434] $31 92%
Mercy Mgd Behavioral Health Contracted [320259] $31 92%
Humana $31 92%
Globalhealth Contracted [320145] $31 92%
Cherokee Nation Health Serv Contracted [320066] $31 92%
Halo Hcr Inc Hospice [20432] $31 92%
Medical Associates Health Contracted [320444] $31 92%
Elara Caring Aspire Hospice [20433] $31 92%
Provider Partners Health Plans Contracted [320450] $33 98%
Medica Contracted [320239] $47 - $52 139%
Providrs Care Network Contracted [320484] $60 178%
First Health Contracted [320128] $64 - $72 190%
Point C Contracted [320238] $64 - $108 190%
Mercy Benefit Admin Contracted [320251] $77 - $101 228%
Show-Me Health Administrators Contracted [320483] $77 - $86 228%
Ebms Contracted [320493] $90 - $101 267%
Edison Health Solutions Contracted [320502] $90 - $101 267%
Reflect Health Contracted [320492] $90 - $101 267%
American Healthcare Alliance Contracted [320020] $90 - $101 267%
Yuzu Health Contracted [320521] $90 - $101 267%
Aither Health Contracted [320449] $90 - $101 267%
Imagine 360 Contracted [320494] $90 - $101 267%
Auxiant Contracted [320462] $90 - $108 267%
Healthscope Contracted [320182] $96 - $108 285%
Healthlink Contracted [320179] $96 - $108 285%
Insurance System Inc Contracted [320465] $96 - $108 285%
Federal Medical Center Contracted [320127] $96 - $108 285%
Health Systems Inc Contracted [320174] $96 - $108 285%
United Medical Resources Contracted [320454] $96 - $108 285%
Benefit Management Contracted [320052] $96 - $108 285%
Preferred Health Plan Contracted [320522] $96 - $108 285%
Compcare Of The Ozarks Contracted [320437] $101 - $114 299%
Workers Comp [20426] $102 - $115 302%
Private Health Care Systems Contracted [320320] $118 - $133 350%
Multiplan [20270] $122 - $137 362%
Multiplan Contracted [320270] $122 - $137 362%

Consumer Guidance & Cost Commentary

For the Physical therapy (functional capacity test) service (CPT 97750), the facility's cash price of $88.00 is significantly lower than the negotiated rates paid by most major insurance payers, which range from $18 to $133 depending on the plan. While the facility's cash rate is higher than the state-wide cash median of $88.00 (indicating it aligns with the state average), it is notably lower than the median negotiated payment of $90.00 and the Medicare benchmark of $33.73. This pricing structure suggests that for patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to having insurance process the claim, as the negotiated rates often exceed the cash price. However, patients should verify their specific plan's allowed amount, as some commercial payers may negotiate rates that are higher than the cash option, making self-pay the most economical choice in this instance.

To ensure you are not overcharged, it is critical to request a full itemized bill before paying, as summary bills can obscure individual line items and potential errors. If you receive a balance bill for the difference between the facility's chargemaster rate and your insurance's allowed amount, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, since the facility offers a prompt-pay discount for upfront payment, you should contact the billing department prior to scheduling your visit to confirm if a self-pay classification can be applied to your account. This proactive step can help you secure the $88.00

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals