CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Jersey Shore University Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.2× the $34 Medicare rate · typically $39–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
Well above the fair price
about $67 over the fair price · 4.2× Medicare
Medicare pays $34 Fair price $75 This hospital $142 Cash price $43 Hospital's list price $218

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 $142

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 $75 (about 2.2× the $34 Medicare rate). Jersey Shore University Medical Center charges insurers about $142, or about $43 in cash — well above the fair price. Located in Neptune, 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 $75. 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 $34 - $367 101%
Blue Cross Blue Shieldmajor $51 151%
Aetnamajor $36 - $196 107%
Cignamajor $174 - $208 516%
Amerigroup $43 127%
AmeriHealth $190 - $216 563%
Clover Health $39 116%
WellCare $224 664%
+ 9 smaller / regional plans $50 - $561
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (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: 1945 Rte 33, Neptune, NJ 07754
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals