CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Cheyenne County Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $98
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Cheyenne County Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.91x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $109 (323%)
Insurance Median: $98 (291%)
Cash: $109 (323% of Medicare)
Ins. Median: $98 (291% 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 291% of the Medicare baseline (a markup of 191%). 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 $53 157%
First Health - All Plans $58 - $95 172%
Healthy Blue Mcr Adv $59 - $98 175%
Aetna $59 - $129 175%
UnitedHealthcare $59 - $230 175%
Tricare $59 - $98 175%
Choice Care - All Plans $60 - $99 178%
Firstguard - All Plans $66 - $109 196%
Wppa - All Plans $74 - $122 219%
Preferred Hc - All Plans $78 - $129 231%
Cpm - All Plans $78 - $129 231%
Midlands Choice - All Plans $80 - $132 237%
Unicare - All Plans $81 - $133 240%
Ppo Next - All Plans $81 - $133 240%
Integrated Hp - All Plans $81 - $133 240%
Health Partners - All Plans $81 - $133 240%
Healthy Blue Mcaid - All Other Plans $82 - $136 243%
Childrens Mercy - All Plans $82 - $136 243%
Healthwave Mcaid - All Plans $82 - $136 243%
Providers Care-All Plans $123 - $204 365%

Consumer Guidance & Cost Commentary

For the CPT code 97750, representing a physical therapy functional capacity test, Cheyenne County Hospital in St. Francis, KS, lists a cash price of $109.00. This cash rate is identical to the facility's negotiated median of $98.00 and matches the gross charge, suggesting no significant discount exists for self-pay patients. The Medicare benchmark for this service is $33.73, indicating that the facility's cash price is approximately 2.9 times the federal government's standard rate. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the pricing data shows that the cash price remains high relative to the Medicare baseline, which is often used to evaluate fair market value.

Insurance payers negotiate rates that generally fall between $53 and $230, with the lowest negotiated amount being $53 from Blue Cross Blue Shield. Although the facility's cash price of $109.00 is higher than the median negotiated rate of $88.00, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allows the full negotiated rate, which could exceed the cash price. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly across different carriers. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final bill by bypassing administrative claim processing costs.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals