CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Wakemed, Cary Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $48
Cash Discount Price: $40
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Wakemed, Cary Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 1900 Kildare Farm Road, Cary, NC.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $40 (119%)

Insurance Median: $48 (142%)

Cash: $40 (119% of Medicare)

Ins. Median: $48 (142% 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
Amerihealth	$15	44%
Carolina Complete	$15	44%
Healthy Blue	$15	44%
Wellcare	$15	44%
Blue Cross Blue Shield	$24 - $52	71%
Cigna	$31 - $53	92%
Aetna	$32 - $71	95%
Cary - Alignment	$33	98%
Cary - Liberty	$38	113%
Cary - Pruitt	$38	113%
Cary - Wellcare	$38	113%
Ambetter / Centene	$39 - $48	116%
First Health	$48 - $92	142%
Medcost	$75 - $78	222%
Phcs	$83	246%
Multiplan	$94	279%

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 $40.
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 Wakemed, Cary Hospital 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.