Physical therapy (functional capacity test)
Facility: Trinity Health Muskegon Hospital
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $33 compared to the $33 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $33 (about 1.0× the $34 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $33, or about $88 in cash — about the fair price. Located in Muskegon, 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
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 - $119 | 98% |
| Blue Cross Blue Shieldmajor | $32 - $66 | 95% |
| Aetnamajor | $32 - $92 | 95% |
| Cignamajor | $85 | 252% |
| Humanamajor | $106 | 314% |
| Kaiser Permanentemajor | $66 | 196% |
| AmeriHealth | $106 | 314% |
| CareSource | $85 | 252% |
| Dean Health Plan | $101 | 299% |
| GEHA | $92 - $119 | 273% |
| Medical Mutual | $106 | 314% |
| Molina | $42 | 125% |
| MVP Health Care | $101 | 299% |
| Oscar Health | $41 | 122% |
| Paramount | $101 | 299% |
| Priority Health | $115 - $129 | 341% |
| UniCare | $106 | 314% |
| + 139 smaller / regional plans | $23 - $135 |
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 Trinity Health Muskegon Hospital
Compare: Physical therapy (functional capacity test) at other MI hospitals
- Beacon Plainwell · Plainwell $17
- Huron Valley-Sinai Hospital · Commerce Township $22
- Harper University Hospital · Detroit $23
- Lake Huron Medical Center · Port Huron $32
- Munson Healthcare Grayling Hospital · Grayling $32
- Covenant Medical Center · Saginaw $32
- Munson Healthcare Cadillac Hospital · Cadillac $32
- Henry Ford Allegiance Health · Jackson $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Muskegon Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $49
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 = $49).
Self-Pay Cash Rate ($88) Beats Your Bill
Trinity Health Muskegon Hospital's published 45 CFR § 180 self-pay cash rate is $88 (vs. $33 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $33 Fair BaseRate ($34 Medicare)
Your bill ($135) is $102 above the denoised Fair BaseRate ($33) and 4.0× 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.