CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Gateway Rehabilitation Hospital
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.3× the $34 Medicare rate · typically $29–$106
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $44 Hospital's list price $143
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 | $116 - $170 | 344% |
| Blue Cross Blue Shieldmajor | $116 - $170 | 344% |
| Aetnamajor | $116 - $170 | 344% |
| Cignamajor | $116 - $170 | 344% |
| Humanamajor | $116 - $170 | 344% |
| CareSource | $116 - $170 | 344% |
| Devoted Health | $116 - $170 | 344% |
| Molina | $116 - $170 | 344% |
| WellCare | $116 - $170 | 344% |
| + 1 smaller / regional plan | $116 - $170 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Gateway Rehabilitation Hospital
Compare: Physical therapy (functional capacity test) at other KY hospitals
- Three Rivers Medical Center · Louisa $20
- Breckinridge Memorial Hospital · Hardinsburg $20
- King's Daughters' Medical Center · Ashland $29
- Deaconess Henderson Hospital · Henderson $30
- University of Kentucky Hospital · Lexington $30
- Baptist Health Deaconess Madisonville · Madisonville $30
- Norton Hospitals, Inc · Louisville $31
- Uofl Health - Shelbyville Hospital · Shelbyville $32
Insurance negotiated median for the same procedure, sorted lowest first.