CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 2.3× the $34 Medicare rate · typically $32–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
About the fair price
2.3× Medicare
Medicare pays $34 Fair price $77 This hospital $77

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $77

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 $77 (about 2.3× the $34 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $77 — about the fair price. Located in Mount Vernon, NY.

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✓ Cigna✓ Humana AetnaKaiser 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 $35 - $77 104%
Blue Cross Blue Shieldmajor $38 - $173 113%
Cignamajor $284 - $315 842%
Humanamajor $42 125%
Fidelis Care $38 - $134 113%
Molina $53 - $173 157%
MVP Health Care $77 - $176 228%
SelectHealth $88 261%
WellCare $39 - $78 116%
+ 11 smaller / regional plans $35 - $394
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals