CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: North Sunflower Medical Center Cah
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$45
about 1.3× the $34 Medicare rate · typically $30–$120
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $45 Cash price $19 Hospital's list price $37
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $64 | 190% |
| Blue Cross Blue Shieldmajor | $37 | 110% |
| Aetnamajor | $20 - $25 | 59% |
| Humanamajor | $20 | 59% |
| Ambetter (Centene) | $20 | 59% |
| + 1 smaller / regional plan | $24 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at North Sunflower Medical Center Cah
Compare: Physical therapy (functional capacity test) at other MS hospitals
- Tippah County Hospital · Ripley $22
- Tallahatchie General Hospital-Cah · Charleston $27
- Magee General Hospital · Magee $28
- S E Lackey Memorial Hospital · Forest $28
- Merit Health River Region · Vicksburg $31
- Baptist Memorial Hospital-Oktibbeha County · Starkville $31
- Yalobusha General Hospital · Water Valley $31
- Memorial Hospital Biloxi · Biloxi $32
Insurance negotiated median for the same procedure, sorted lowest first.