CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Ocean Medical Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$80
about 2.4× the $34 Medicare rate · typically $38–$170
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $80 Cash price $43 Hospital's list price $202
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 | $45 - $558 | 133% |
| Blue Cross Blue Shieldmajor | $104 | 308% |
| Aetnamajor | $26 - $195 | 77% |
| Cignamajor | $109 - $210 | 323% |
| Amerigroup | $43 - $48 | 127% |
| AmeriHealth | $159 - $216 | 471% |
| Clover Health | $33 - $39 | 98% |
| WellCare | $224 | 664% |
| + 12 smaller / regional plans | $36 - $525 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ocean Medical Center
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.