CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mercy Health Saint Mary's

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.3× the $34 Medicare rate · typically $33–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $10 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $43 This hospital $33 Cash price $88 Hospital's list price $135

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $33

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

A fair price for a Physical therapy (functional capacity test) is about $43 (about 1.3× the $34 Medicare rate). Mercy Health Saint Mary's charges insurers about $33, or about $88 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 - $135 98%
Blue Cross Blue Shieldmajor $32 - $65 95%
Aetnamajor $32 - $107 95%
Cignamajor $98 291%
Humanamajor $103 - $135 305%
Kaiser Permanentemajor $65 193%
AmeriHealth $103 305%
CareSource $88 261%
Dean Health Plan $99 294%
GEHA $85 - $103 252%
Medical Mutual $85 252%
Molina $42 125%
MVP Health Care $99 294%
Oscar Health $41 122%
Paramount $99 294%
Priority Health $73 - $75 216%
UniCare $103 305%
+ 144 smaller / regional plans $23 - $135
Government programs also on file: Medicare.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals