Physical therapy (functional capacity test)
Facility: Kingman Healthcare Center
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $136
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.03x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 403% of the Medicare baseline (a markup of 303%). 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.
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 | $136 | 403% |
Consumer Guidance & Cost Commentary
For the Physical therapy (functional capacity test) service at Kingman Healthcare Center in Kingman, KS, the negotiated rate is $136.00, which aligns exactly with the lowest and highest reported values for Humana. This facility, a Critical Access Hospital, operates under a voluntary non-profit structure. While the data does not provide specific cash or median paid figures, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if your insurance plan has a high deductible or if the negotiated rate exceeds the cash price. It is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by offering immediate liquidity incentives.
When evaluating this cost, it is important to compare rates against the Medicare benchmark rather than the facility's full chargemaster list, as the latter often inflates the perceived savings. The Medicare amount for this code is $33.73, and the negotiated rate of $136.00 represents a significant markup relative to this federal baseline. If you receive an itemized bill, review it carefully to ensure no errors exist, such as unbundled codes or charges for services not rendered, as over 80% of hospital bills contain mistakes. If discrepancies are found, request a formal written audit dispute rather than settling verbally to protect your financial interests.