CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Saint Joseph Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 2.9× the $34 Medicare rate · typically $35–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $2 over the fair price · 3.0× Medicare
Medicare pays $34 Fair price $99 This hospital $101 Cash price $78 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $101

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $99 (about 2.9× the $34 Medicare rate). Saint Joseph Hospital charges insurers about $101, or about $78 in cash — about the fair price. Located in Lexington, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $44 - $118 130%
Blue Cross Blue Shieldmajor $46 136%
Aetnamajor $43 - $127 127%
Cignamajor $101 - $124 299%
Humanamajor $43 - $100 127%
Molina $38 113%
WellCare $45 133%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals