CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Tufts Medical Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$64
about 1.9× the $34 Medicare rate · typically $37–$158
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $64 Cash price $176 Hospital's list price $252
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 | $242 - $261 | 717% |
| Blue Cross Blue Shieldmajor | $111 - $324 | 329% |
| Aetnamajor | $85 - $91 | 252% |
| Cignamajor | $160 - $238 | 474% |
| AmeriHealth | $85 - $91 | 252% |
| AvMed | $85 - $91 | 252% |
| GEHA | $85 - $91 | 252% |
| Tufts Health Plan | $69 - $197 | 205% |
| WellSense | $64 - $93 | 190% |
| + 102 smaller / regional plans | $85 - $324 |
Government programs also on file: Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Tufts Medical Center
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.