Physical therapy (functional capacity test)
Facility: Northern Light Sebasticook Valley Hospital
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $37 compared to the $39 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.95× fair market pricing.
A typical price — 2 charge more and 3 charge less, among the 9 ME hospitals compared.
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 $39 (about 1.1× the $34 Medicare rate). Northern Light Sebasticook Valley Hospital charges insurers about $37, or about $55 in cash — about the fair price. Located in Pittsfield, ME.
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 | $32 - $122 | 95% |
| Blue Cross Blue Shieldmajor | $31 - $105 | 92% |
| Aetnamajor | $32 - $122 | 95% |
| Cignamajor | $74 - $121 | 219% |
| WellCare | $32 - $62 | 95% |
| + 3 smaller / regional plans | $32 - $162 |
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 Northern Light Sebasticook Valley Hospital
Compare: Physical therapy (functional capacity test) at other ME hospitals
- Central Maine Medical Center · Lewiston $32
- Northern Light Acadia Hospital · Bangor $32
- Calais Community Hospital · Calais $35
- Northern Light Blue Hill Memorial Hospital · Blue Hill $37
- Northern Light C A Dean Hospital · Greenville $37
- Northern Light Mayo Hospital · Dover Foxcroft $37
- Mainehealth Pen Bay Hospital · Rockport $38
- Northern Light A R Gould Hospital · Presque Isle $39
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Northern Light Sebasticook Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $59
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $59).
Self-Pay Cash Rate ($55) Beats Your Bill
Northern Light Sebasticook Valley Hospital's published 45 CFR § 180 self-pay cash rate is $55 (vs. $37 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $39 Fair BaseRate ($34 Medicare)
Your bill ($162) is $123 above the denoised Fair BaseRate ($39) and 4.8× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.