CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Elmhurst Hospital Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 3.2× the $34 Medicare rate · typically $38–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $6 over the fair price · 3.4× Medicare
Medicare pays $34 Fair price $110 This hospital $116 Hospital's list price $227

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 $116

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 $110 (about 3.2× the $34 Medicare rate). Elmhurst Hospital Center charges insurers about $116 — about the fair price. Located in Elmhurst, 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✓ 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 $100 - $330 296%
Blue Cross Blue Shieldmajor $100 - $225 296%
Aetnamajor $20 - $192 59%
Cignamajor $241 714%
Fidelis Care $55 - $225 163%
MagnaCare $170 504%
Oscar Health $251 744%
WellCare $41 122%
+ 13 smaller / regional plans $30 - $265
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals