CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Singing River Health System

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $47
Cash Discount Price: $62
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Singing River Health System is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.39x the Medicare baseline. Located in 2809 Denny Av, Pascagoula, MS.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $62 (184%)

Insurance Median: $47 (139%)

Cash: $62 (184% of Medicare)

Ins. Median: $47 (139% 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
UnitedHealthcare	$31 - $50	92%
Aetna	$32	95%
Blue Cross Blue Shield	$32	95%
Cigna	$32 - $200	95%
Humana	$32	95%
Shared Health	$33	98%
Wellcare	$33	98%
Singing River Health System Employees	$35	104%
Ambetter / Centene	$47	139%
Molina Healthcare Of Ms	$50	148%
First Choice	$54	160%
Mississippi Physicians Care Network	$56	166%
First Choice Preferred Pricing	$58	172%
90 Degree Benefits	$59	175%
Vocational Rehab	$2,882	8544%

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 $62.
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 Singing River Health System 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.