Physical therapy (functional capacity test)
Facility: Saint Clare's Hospital/ Denville Campus
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $57 compared to the $49 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.16× fair market pricing.
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (functional capacity test) is about $49 (about 1.4× the $34 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $57, or about $37 in cash — above the fair price. Located in Denville, NJ.
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 $49. 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.
5 of 6 major insurers have a published price at this hospital
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 | $38 - $64 | 113% |
| Blue Cross Blue Shieldmajor | $38 | 113% |
| Aetnamajor | $38 - $80 | 113% |
| Cignamajor | $158 | 468% |
| Humanamajor | $30 | 89% |
| AmeriHealth | $38 | 113% |
| Clover Health | $38 | 113% |
| MagnaCare | $87 | 258% |
| WellCare | $38 - $51 | 113% |
| + 5 smaller / regional plans | $38 - $155 |
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.
Other Procedures at Saint Clare's Hospital/ Denville Campus
Compare: Physical therapy (functional capacity test) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $21
- Centrastate Medical Center · Freehold $36
- Morristown Medical Center · Morristown $37
- Chilton Medical Center · Pompton Plains $37
- Newton Medical Center · Newton $37
- Overlook Medical Center · Summit $37
- Carewell Health Medical Center · East Orange $37
- AHS Hospital Corp · Hackettstown $37
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Clare's Hospital/ Denville Campus (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $67
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $67).
Self-Pay Cash Rate ($37) Beats Your Bill
Saint Clare's Hospital/ Denville Campus's published 45 CFR § 180 self-pay cash rate is $37 (vs. $57 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $49 Fair BaseRate ($34 Medicare)
Your bill ($185) is $136 above the denoised Fair BaseRate ($49) and 5.4× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.