CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.5× the $34 Medicare rate · typically $37–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $5 over the fair price · 1.7× Medicare
Medicare pays $34 Fair price $52 This hospital $57 Cash price $37 Hospital's list price $185

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $21 Priciest $57

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 $52 (about 1.5× the $34 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $57, or about $37 in cash — about the fair price. Located in Denville, NJ.

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

✓ 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 $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
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 25 Pocono Road, Denville, NJ 07834
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals