CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Baptist Memorial Hospital Desoto

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $167
Cash Discount Price: $63
vs. Medicare Baseline: 4.95x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Baptist Memorial Hospital Desoto is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 4.95x the Medicare baseline. Located in 7601 Southcrest Parkway, Southaven, MS.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $63 (187%)

Insurance Median: $167 (495%)

Cash: $63 (187% of Medicare)

Ins. Median: $167 (495% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 495% of the Medicare baseline (a markup of 395%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$22 - $83	65%
Advanced Health Systems Inc.	$34	101%
Blue Cross Blue Shield	$34 - $193	101%
Humana	$55 - $180	163%
Magnolia Ms	$67 - $70	199%
Ppo Holdings	$116 - $122	344%
Cooper Realty	$122 - $128	362%
Magnolia Regional Health Center	$122 - $128	362%
Oscar	$130	385%
Multiplan	$132 - $241	391%
Littler	$153 - $160	454%
Molina	$153 - $160	454%
Mpcn	$159 - $167	471%
UnitedHealthcare	$160 - $237	474%
First Choice Health Plan Of Ms	$162 - $170	480%
Novasys	$177 - $186	525%
Access Health Services	$184 - $193	546%
Primewell	$184 - $193	546%
Qca	$230 - $241	682%
Christian Health Aid	$245 - $257	726%
Ppo Plus	$245 - $257	726%
St. Jude Children'S Hospital	$275 - $289	815%

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 $63.
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 Baptist Memorial Hospital Desoto 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.