CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Ellsworth County Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $53
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Ellsworth County Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.57x the Medicare baseline. Located in 1604 Aylward Avenue, Ellsworth, KS.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $56 (166%)
Insurance Median: $53 (157%)
Cash: $56 (166% of Medicare)
Ins. Median: $53 (157% 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.

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
Humana $26 - $53 77%
Healthy Blue Mcr Adv $26 77%
Va Ccn-All Plans $26 77%
Triwest -All Plans $26 77%
UnitedHealthcare $36 - $56 107%
Aetna $50 148%
First Health - All Plans $50 148%
Blue Cross Blue Shield $50 - $53 148%
Cigna $53 157%
Coventry Mcaid-All Plans $56 166%
Healthy Blue Mcaid- All Other Plans $56 166%
Medicaid / KanCare $56 166%
Providers Care-Wppa-All Plans $84 249%

Consumer Guidance & Cost Commentary

For the Physical therapy (functional capacity test) service at Ellsworth County Medical Center, the cash price is $56.00, which matches the facility's negotiated rate for UnitedHealthcare and several other payers. This cash price is significantly higher than the state average for this procedure, which is approximately $43.00 based on the median paid data. While commercial insurance plans like Humana and Healthy Blue Mcr Adv negotiate rates as low as $26.00, these amounts are subject to your specific plan's deductible and copay requirements. If your insurance deductible has not yet been met, you may end up paying more out-of-pocket than if you paid the cash price directly, making the $56.00 cash rate a potentially more affordable option for those with high-deductible plans.

To ensure you are receiving the most accurate pricing, it is important to request an itemized bill rather than accepting a summary invoice, as hospitals often use broad categories to obscure individual charges. Additionally, you should verify if the facility offers a prompt-pay discount, which could reduce the $56.00 cash price by 20% to 50% if paid in full upfront. Since the facility is a Critical Access Hospital in Kansas, you should also confirm whether any ancillary services, such as lab work or imaging, are out-of-network to avoid unexpected balance billing, even though the No Surprises Act protects you from such charges for emergency care and non-emergency services at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals