CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: PAM Rehabilitation Hospital of Centennial Hills

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $44
Cash Discount Price: $152
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at PAM Rehabilitation Hospital of Centennial Hills is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.30x the Medicare baseline. Located in 6166 N Durango Dr, Las Vegas, NV.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $152 (451%)

Insurance Median: $44 (130%)

Cash: $152 (451% of Medicare)

Ins. Median: $44 (130% 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.

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
Aetna	$6 - $29	18%
Imperial Health	$11 - $50	33%
Alignment Health Plan	$17 - $75	50%
Teachers Health Trust	$28 - $125	83%
Humana	$33	98%
Ilumed Aco Reach	$33	98%
Molina	$33	98%
Scan Health Plan	$33	98%
Blue Cross Blue Shield	$34 - $155	101%
Silver Summit Health Plan	$34 - $155	101%
Select Health	$37	110%
Americas Choice Provider Network	$39 - $175	116%
Provider Network Of America	$42 - $187	125%
Quik Trip	$42 - $187	125%
Usa Managed Care Organization	$42 - $187	125%
Velocity Provider Ppo Network	$42 - $187	125%
Multiplan/Phcs	$44 - $199	130%
Prime Health Services	$47 - $212	139%
UnitedHealthcare	$78	231%
Cigna	$80	237%
Nevada Preferred (Prominence)	$105	311%

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 $152.
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 PAM Rehabilitation Hospital of Centennial Hills 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.