CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Moberly Regional Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $59
Cash Discount Price: $79
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Moberly Regional Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.75x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $79 (234%)

Insurance Median: $59 (175%)

Cash: $79 (234% of Medicare)

Ins. Median: $59 (175% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$29 - $48	86%
Blue Access	$31	92%
Blue Cross Blue Shield	$31 - $75	92%
Blue Preferred	$31	92%
Medicare (plans)	$31	92%
Node Va	$31	92%
Pathway/Pathway X	$31	92%
Tricare	$31	92%
UnitedHealthcare	$31 - $162	92%
Veterans Eval Services	$31	92%
Node Devoted Health Mcr Adv	$32	95%
Centurion Correctional	$39	116%
Corizon	$39	116%
United Behavioral Health Mcd	$42	125%
Home State Health Plan	$48 - $58	142%
Us Department Of Labor	$49	145%
Healthscope Benefits	$52	154%
Self Pay	$57 - $101	169%
Naphcare	$59	175%
Cigna	$66	196%
Access Health Services, Llc	$137	406%
Aetna	$139 - $169	412%
Healthlink	$148 - $169	439%
Blue Traditional	$151 - $158	448%
Multiplan Primary	$158	468%
Coventry Wc	$169	501%
Multiplan	$171	507%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $79.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Moberly Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.