CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Chilton Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$67
about 2.0× the $34 Medicare rate · typically $37–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $30 under the fair price · 1.1× Medicare
Medicare pays $34 Fair price $67 This hospital $37 Cash price $248 Hospital's list price $1,638

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 1 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $21 Priciest $38

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $67 (about 2.0× the $34 Medicare rate). Chilton Medical Center charges insurers about $37, or about $248 in cash — below the fair price — a good deal. Located in Pompton Plains, NJ.

What each insurance company pays

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

6 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 $141 - $152 418%
Blue Cross Blue Shieldmajor $19 - $135 56%
Aetnamajor $23 - $100 68%
Cignamajor $37 - $138 110%
Humanamajor $140 - $150 415%
Kaiser Permanentemajor $92 273%
Ambetter (Centene) $37 110%
AmeriHealth $37 - $110 110%
GEHA $146 - $152 433%
Harvard Pilgrim $146 - $152 433%
Health Net $100 - $145 296%
MagnaCare $107 - $154 317%
MVP Health Care $125 371%
Oscar Health $140 - $150 415%
Tufts Health Plan $125 371%
UPMC Health Plan $37 110%
WellCare $37 110%
+ 79 smaller / regional plans $21 - $167
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 97 West Parkway, Pompton Plains, NJ 07444
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals