CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Essentia Health

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $34 Medicare rate · typically $33–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $34 This hospital $33

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 5 of 6 other ND hospitals charge more for the same procedure.

Cheapest $25 Priciest $77

Black dot = this hospital, among the 7 ND hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $34 (about 1.0× the $34 Medicare rate). Essentia Health charges insurers about $33 — about the fair price. Located in Fargo, ND.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $33 98%
Blue Cross Blue Shieldmajor $33 - $45 98%
HealthPartners $33 98%
Medica $33 98%
Sanford Health Plan $66 - $69 196%
Security Health Plan $33 98%
UCare $33 98%
+ 10 smaller / regional plans $33 - $34
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals