Physical therapy (functional capacity test)
Facility: Boston Children's Hospital
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 $133 (about 3.9× the $34 Medicare rate). Boston Children's Hospital charges insurers about $121, or about $198 in cash — about the fair price. Located in Boston, MA.
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
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 | $118 - $168 | 350% |
| Blue Cross Blue Shieldmajor | $112 - $131 | 332% |
| Aetnamajor | $119 - $166 | 353% |
| Cignamajor | $168 - $179 | 498% |
| Humanamajor | $178 | 528% |
| Ambetter (Centene) | $125 | 371% |
| CDPHP | $97 - $168 | 288% |
| Harvard Pilgrim | $101 - $134 | 299% |
| Tufts Health Plan | $122 | 362% |
| UniCare | $115 | 341% |
| + 8 smaller / regional plans | $120 - $178 |
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 Boston Children's Hospital
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.