CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mahnomen Health Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.5× the $34 Medicare rate · typically $34–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $15 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $50 This hospital $35

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $28 Priciest $35

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

A fair price for a Physical therapy (functional capacity test) is about $50 (about 1.5× the $34 Medicare rate). Mahnomen Health Center charges insurers about $35 — below the fair price — a good deal. Located in Mahnomen, MN.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $35 104%
Sanford Health Plan $34 101%
UCare $35 104%

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: 414 W Jefferson Po Box 396, Mahnomen, MN 56557
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Rural Emergency Hospital