CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: High Point Regional Health System
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$160
about 4.7× the $34 Medicare rate · typically $44–$254
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $160 Cash price $55 Hospital's list price $110
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $16 - $268 | 47% |
| Blue Cross Blue Shieldmajor | $35 - $56 | 104% |
| Aetnamajor | $33 - $72 | 98% |
| Cignamajor | $60 | 178% |
| Humanamajor | $102 - $104 | 302% |
| Ambetter (Centene) | $35 | 104% |
| AmeriHealth | $16 - $36 | 47% |
| Oscar Health | $33 - $44 | 98% |
| WellCare | $16 | 47% |
| + 7 smaller / regional plans | $16 - $65 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at High Point Regional Health System
Compare: Physical therapy (functional capacity test) at other NC hospitals
- Atrium Health Cleveland · Shelby $24
- Atrium Health Anson · Wadesboro $24
- Stanly Regional Medical Center · Albemarle $24
- Carolinas Medical Center-Northeast · Concord $32
- Memorial Mission Hospital and Asheville Surgery Ce · Asheville $32
- Ecu Health Medical Center · Greenville $32
- North Carolina Baptist Hospital · Winston-Salem $32
- Columbus Regional Healthcare System · Whiteville $32
Insurance negotiated median for the same procedure, sorted lowest first.