CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.6× the $34 Medicare rate · typically $33–$96
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $53 Cash price $124 Hospital's list price $124

How we calculate the fair BaseRate →

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 $102 - $155 302%
Blue Cross Blue Shieldmajor $102 - $155 302%
Aetnamajor $102 - $155 302%
Cignamajor $102 - $155 302%
Ambetter (Centene) $102 - $155 302%
AmeriHealth $102 - $155 302%
Oscar Health $102 - $155 302%
UPMC Health Plan $102 - $155 302%
WellCare $102 - $155 302%
+ 11 smaller / regional plans $102 - $155
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL