CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Southern Ocean Medical Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$88
about 2.6× the $34 Medicare rate · typically $39–$183
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $88 Cash price $43 Hospital's list price $185
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 - $407 | 133% |
| Aetnamajor | $34 - $167 | 101% |
| Cignamajor | $148 - $177 | 439% |
| Amerigroup | $43 | 127% |
| AmeriHealth | $161 - $182 | 477% |
| Clover Health | $33 | 98% |
| WellCare | $224 | 664% |
| + 7 smaller / regional plans | $38 - $563 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Southern 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.