CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Berkshire Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $35–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $34 Fair price $35 This hospital $36 Cash price $90 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MA hospitals compared.

Cheapest $35 Priciest $37

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

A fair price for a Physical therapy (functional capacity test) is about $35 (about 1.0× the $34 Medicare rate). Berkshire Medical Center charges insurers about $36, or about $90 in cash — about the fair price. Located in Pittsfield, MA.

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✓ Cigna HumanaKaiser 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 $35 - $81 104%
Blue Cross Blue Shieldmajor $36 - $80 107%
Aetnamajor $41 - $71 122%
Cignamajor $85 - $88 252%
CDPHP $26 - $85 77%
MVP Health Care $85 252%
Tufts Health Plan $29 - $54 86%
UniCare $61 - $69 181%
+ 14 smaller / regional plans $26 - $90
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 725 North Street, Pittsfield, MA 01201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals