CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Great Plains Health

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$145

about 4.3× the $34 Medicare rate · typically $87–$194

modeled estimate · not a bill or quote

What this hospital charges insurers

$113

Below the fair price — a good deal

about $32 under the fair price · 3.3× Medicare

Medicare pays $34 Fair price $145 This hospital $113 Cash price $80 Hospital's list price $175

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $113

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $145 (about 4.3× the $34 Medicare rate). Great Plains Health charges insurers about $113, or about $80 in cash — below the fair price — a good deal. Located in North Platte, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$81 - $171	240%
Blue Cross Blue Shieldmajor	$70 - $159	208%
Aetnamajor	$80 - $171	237%
Ambetter (Centene)	$157 - $161	465%
GEHA	$80 - $169	237%
Medica	$78 - $166	231%
Molina	$38 - $39	113%
Oscar Health	$79 - $167	234%
+ 3 smaller / regional plans	$35 - $171

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 80), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97750.

Insurance Before you use insurance

Call your insurance company to confirm Great Plains Health is in-network.
Ask your insurer whether prior approval is required for CPT code 97750.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Great Plains Health

Compare: Physical therapy (functional capacity test) at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.