Physical therapy (functional capacity test)
Facility: Wynn Hospital
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $33 compared to the $35 fair price benchmark.
1-Star CMS clinical quality rating paired with 0.94× fair market pricing.
A typical price — 0 charge more and 4 charge less, among the 9 NY hospitals compared.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (functional capacity test) is about $35 (about 1.0× the $34 Medicare rate). Wynn Hospital charges insurers about $33, or about $70 in cash — about the fair price. Located in Utica, NY.
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
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 | $21 - $150 | 62% |
| Blue Cross Blue Shieldmajor | $33 - $81 | 98% |
| Aetnamajor | $33 - $38 | 98% |
| Cignamajor | $45 - $94 | 133% |
| Humanamajor | $31 - $89 | 92% |
| CDPHP | $67 - $89 | 199% |
| Fidelis Care | $44 | 130% |
| GEHA | $89 - $150 | 264% |
| MVP Health Care | $40 - $94 | 119% |
| + 6 smaller / regional plans | $31 - $150 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Wynn Hospital
Compare: Physical therapy (functional capacity test) at other NY hospitals
- Highland Hospital · Rochester $28
- F F Thompson Hospital · Canandaigua $32
- Jones Memorial Hospital · Wellsville $32
- Nicholas H Noyes Memorial Hospital · Dansville $32
- Nassau University Medical Center · East Meadow $33
- Geneva General Hospital · Geneva $33
- Niagara Falls Memorial Medical Center · Niagara Falls $33
- Samaritan Medical Center · Watertown $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Wynn Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $42
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $42).
Self-Pay Cash Rate ($70) Beats Your Bill
Wynn Hospital's published 45 CFR § 180 self-pay cash rate is $70 (vs. $33 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $35 Fair BaseRate ($34 Medicare)
Your bill ($117) is $82 above the denoised Fair BaseRate ($35) and 3.4× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.