CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Highland Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $28–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $7 under the fair price · 0.8× Medicare
Medicare pays $34 Fair price $35 This hospital $28

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Lowest price of the 9 NY hospitals we have prices for — a strong deal.

Cheapest $28 Priciest $33

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). Highland Hospital charges insurers about $28 — below the fair price — a good deal. Located in Rochester, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $11 - $93 33%
Blue Cross Blue Shieldmajor $11 - $25 33%
Aetnamajor $26 77%
Cignamajor $90 267%
Humanamajor $26 77%
Amerigroup $11 - $93 33%
Fidelis Care $93 276%
Molina $28 - $93 83%
MVP Health Care $28 - $70 83%
+ 1 smaller / regional plan $20
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1000 South Avenue, Rochester, NY 14617
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals