CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Lee's Summit Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $50
Cash Discount Price: $317
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Lee's Summit Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.48x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $317 (940%)

Insurance Median: $50 (148%)

Cash: $317 (940% of Medicare)

Ins. Median: $50 (148% 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
Aetna	$18 - $162	53%
Amerigroup	$18	53%
Healthyblue	$18	53%
Home State Health Plan	$18	53%
Medicaid / KanCare	$18	53%
Unicare	$18	53%
United	$18 - $143	53%
Blue Cross Blue Shield	$28 - $136	83%
Coventry	$28 - $128	83%
Celtic	$29 - $33	86%
Cigna	$29 - $254	86%
Devoted Health	$29 - $33	86%
Humana	$29 - $71	86%
Wellcare	$29 - $33	86%
Pyramid Life	$31 - $35	92%
Multiplan	$41 - $235	122%
Corvel Corporation	$48 - $206	142%
Oha Network	$50 - $159	148%
Ambetter / Centene	$59	175%
Nhc Advantage	$60	178%
Oscar	$60	178%
Wppa Providrs Care Network	$63	187%
Universal Healthcare	$111	329%
Coventry Kc Mo	$130	385%
College Park Family Care Center	$136	403%
Focus Healthcare Mgmt, Inc	$238	706%
Cco, Inc.	$270	800%

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 $317.
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 Lee's Summit 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.