CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $67
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Poplar Bluff Regional Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.99x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $88 (261%)
Insurance Median: $67 (199%)
Cash: $88 (261% of Medicare)
Ins. Median: $67 (199% 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.

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 $27 - $69 80%
Blue Access $31 92%
Blue Cross Blue Shield $31 - $90 92%
Humana $31 92%
Medicare (plans) $31 92%
Node Champva $31 92%
Node Hospice Non Par Agree $31 92%
Node United Behavioral Health Mcr Adv $31 92%
Node Va $31 92%
Tricare $31 92%
UnitedHealthcare $31 - $186 92%
Veterans Eval Services $31 92%
Node Ahs Mcr Adv $32 95%
Node Devoted Health Mcr Adv $32 95%
Node Pphp Mcr Adv $35 104%
Centurion Correctional $39 116%
Us Department Of Labor $49 145%
Naphcare $59 175%
Home State Exchange $78 231%
W W Wood $78 231%
Self Pay $83 246%
Cigna $188 - $277 557%
Evolutions Healthcare $189 560%
Tyson Foods $191 566%
Access Health Services, Llc $197 584%
Parker Hannifin $208 - $242 617%
Healthlink $217 643%
First Health $225 667%
Blue Traditional $256 - $267 759%
Coventry Wc $277 821%
Municipal Health $277 821%
Multiplan $301 892%
Phcs $301 892%
Compresults Wc $312 925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals