CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mainehealth Maine Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.2× the $34 Medicare rate · typically $34–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $34 Fair price $41 This hospital $44 Cash price $95 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ME hospitals compared.

Cheapest $32 Priciest $61

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

A fair price for a Physical therapy (functional capacity test) is about $41 (about 1.2× the $34 Medicare rate). Mainehealth Maine Medical Center charges insurers about $44, or about $95 in cash — about the fair price. Located in Portland, ME.

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 $33 - $199 98%
Blue Cross Blue Shieldmajor $34 - $87 101%
Aetnamajor $33 - $183 98%
Cignamajor $65 - $184 193%
Humanamajor $33 - $38 98%
Harvard Pilgrim $57 - $190 169%
WellCare $34 - $40 101%
+ 1 smaller / regional plan $67 - $186
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals