CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $34 Medicare rate · typically $28–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
0.9× Medicare
Medicare pays $34 Fair price $30 This hospital $30 Cash price $21 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 3 charge less, among the 9 KY hospitals compared.

Cheapest $20 Priciest $32

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 $30 (about 0.9× the $34 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $30, or about $21 in cash — about the fair price. Located in Madisonville, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $20 - $56 59%
Blue Cross Blue Shieldmajor $20 - $54 59%
Aetnamajor $20 - $30 59%
Humanamajor $20 - $58 59%
HealthLink $56 166%
Molina $20 59%
WellCare $20 59%
+ 6 smaller / regional plans $30 - $141
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals