CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Southern Ocean Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $159
Cash Discount Price: $43
vs. Medicare Baseline: 4.71x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Southern Ocean Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 4.71x the Medicare baseline. Located in 1140 Rt 72 W, Manahawkin, NJ.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $43 (127%)

Insurance Median: $159 (471%)

Cash: $43 (127% of Medicare)

Ins. Median: $159 (471% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 471% of the Medicare baseline (a markup of 371%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Clover	$33	98%
Aetna	$34 - $167	101%
Seoul Medical Group	$38	113%
Amerigroup	$43	127%
Vaccn	$43	127%
United Community/Americhoice	$45	133%
UnitedHealthcare	$51 - $407	151%
Karna	$57	169%
Horizon	$60 - $169	178%
Cigna	$148 - $177	439%
Multiplan - PHCS	$157	465%
Qualcare	$160 - $257	474%
Amerihealth	$161 - $182	477%
Brighton Health Plan	$166	492%
Wellcare	$224	664%
Bergen Risk	$291	863%
Oxford	$563	1669%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $43.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Ocean Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.