CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.4× the $34 Medicare rate · typically $29–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Above the fair price
about $18 over the fair price · 1.9× Medicare
Medicare pays $34 Fair price $47 This hospital $65 Cash price $60 Hospital's list price $196

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

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

Cheapest $17 Priciest $65

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

A fair price for a Physical therapy (functional capacity test) is about $47 (about 1.4× the $34 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $65, or about $60 in cash — above the fair price. Located in Lebanon, NH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $47. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $30 - $151 89%
Blue Cross Blue Shieldmajor $34 - $213 101%
Aetnamajor $35 - $171 104%
Cignamajor $35 - $134 104%
Ambetter (Centene) $36 - $111 107%
AmeriHealth $18 - $22 53%
Harvard Pilgrim $25 - $136 74%
MVP Health Care $34 - $131 101%
Tufts Health Plan $110 - $145 326%
WellCare $35 104%
WellSense $18 - $36 53%
+ 7 smaller / regional plans $18 - $186
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals