Physical therapy (functional capacity test)
Facility: Melrosewakefield Healthcare
Billing Code: 97750 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $64 (about 1.9× the $34 Medicare rate). Melrosewakefield Healthcare charges insurers about $135, or about $157 in cash — well above the fair price. Located in Melrose, MA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $64. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $233 | 691% |
| Blue Cross Blue Shieldmajor | $89 - $233 | 264% |
| Aetnamajor | $72 - $85 | 213% |
| Cignamajor | $104 - $449 | 308% |
| AmeriHealth | $72 - $85 | 213% |
| AvMed | $72 - $85 | 213% |
| GEHA | $72 - $85 | 213% |
| Tufts Health Plan | $77 - $128 | 228% |
| + 103 smaller / regional plans | $72 - $531 |
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.
Other Procedures at Melrosewakefield Healthcare
Compare: Physical therapy (functional capacity test) at other MA hospitals
- Anna Jaques Hospital · Newburyport $35
- North Adams Regional Hospital Corporation · North Adams $35
- Spaulding Rehabilitation Hospital Cape Cod · East Sandwich $35
- UMass Memorial Health - Harrington Hospital · Southbridge $36
- Berkshire Medical Center · Pittsfield $36
- UMass Memorial Healthalliance Hospitals · Leominster $37
- Massachusetts General Hospital · Boston $37
- Newton-Wellesley Hospital · Newton $37
Insurance negotiated median for the same procedure, sorted lowest first.