CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Saint Michael's Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$70
about 2.1× the $34 Medicare rate · typically $38–$145
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $17 under the fair price · 1.6× Medicare
Medicare pays $34 Fair price $70 This hospital $53 Cash price $37 Hospital's list price $2,236

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 $53

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 $70 (about 2.1× the $34 Medicare rate). Saint Michael's Medical Center charges insurers about $53, or about $37 in cash — below the fair price — a good deal. Located in Newark, 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 - $499 113%
Blue Cross Blue Shieldmajor $38 113%
Aetnamajor $38 - $80 113%
Cignamajor $158 468%
Humanamajor $38 113%
AmeriHealth $38 113%
Clover Health $39 116%
WellCare $39 - $51 116%
+ 5 smaller / regional plans $38 - $527
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Central Avenue, Newark, NJ 07102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals