CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Breckinridge Memorial Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.4× the $34 Medicare rate · typically $24–$124
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $29 under the fair price · 0.6× Medicare
Medicare pays $34 Fair price $49 This hospital $20 Cash price $36 Hospital's list price $72

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Lowest price of the 9 KY hospitals we have prices for — a strong deal.

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 $49 (about 1.4× the $34 Medicare rate). Breckinridge Memorial Hospital charges insurers about $20, or about $36 in cash — below the fair price — a good deal. Located in Hardinsburg, 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 $13 - $104 39%
Blue Cross Blue Shieldmajor $13 - $122 39%
Aetnamajor $13 - $92 39%
Humanamajor $28 - $92 83%
Ambetter (Centene) $15 - $48 44%
CareSource $13 - $44 39%
Molina $13 - $42 39%
WellCare $13 - $44 39%
+ 2 smaller / regional plans $13 - $44
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1011 Old Highway 60, Hardinsburg, KY 40143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals