Physical therapy (functional capacity test)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $40
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.19x 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 |
|---|---|---|
| Missouri Healthnet | $14 - $65 | 42% |
| Aetna | $18 - $31 | 53% |
| United | $18 - $115 | 53% |
| Healthy Blue Kansas | $18 - $31 | 53% |
| Medicaid / KanCare | $18 - $85 | 53% |
| Home State Health Plan | $29 | 86% |
| Healthy Blue Missouri | $29 | 86% |
| United Community Of Missouri | $29 | 86% |
| Humana | $31 | 92% |
| Blue Cross Blue Shield | $31 - $144 | 92% |
| Ilumed Aco Reach | $31 | 92% |
| Americas Choice Provider Network | $37 - $168 | 110% |
| Velocity | $38 - $180 | 113% |
| Quiktrip Corporation | $40 - $180 | 119% |
| Provider Network Of America | $40 - $180 | 119% |
| Usa Managed Care Organization | $40 - $180 | 119% |
| Prime Health Services | $41 - $204 | 122% |
| Multiplan-Phcs | $43 - $192 | 127% |
| Medincrease | $48 - $216 | 142% |
| Cigna | $104 | 308% |
| Providrs Care | $115 | 341% |
Consumer Guidance & Cost Commentary
For the Physical therapy (functional capacity test) procedure at the Rehabilitation Hospital Of Overland Park, the cash price is $146.00, which matches the facility's self-pay rate. This cash price is significantly lower than the average negotiated rates paid by insurance companies, with the median negotiated amount across payers being $40.00. While many commercial plans negotiate rates that can range from $14 to $216 depending on the carrier, patients with high-deductible plans may find that paying the cash price of $146.00 upfront is more cost-effective than relying on insurance, especially if their deductible has not yet been met. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than the cash rate.
To ensure you receive the most accurate billing information, always request an itemized bill that lists every specific CPT code and unit cost rather than accepting a summary bill that obscures individual charges. Since over 80% of hospital bills contain errors, such as unbundled services or charges for items not rendered, reviewing the detailed statement is the most effective way to identify and dispute mistakes. Additionally, if you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. This facility is located in Overland Park, KS, and while the data reflects a 2026-06 vintage, the principles of requesting itemized statements and seeking prompt-pay incentives remain valid for all patients.