CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: St Francis Hospital - the Heart Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$90
about 2.6× the $34 Medicare rate · typically $34–$146
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $90 Hospital's list price $205
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 | $82 - $303 | 243% |
| Blue Cross Blue Shieldmajor | $101 - $133 | 299% |
| Aetnamajor | $102 - $356 | 302% |
| Cignamajor | $144 - $293 | 427% |
| AmeriHealth | $92 | 273% |
| Fidelis Care | $82 - $184 | 243% |
| Independent Health | $82 | 243% |
| MVP Health Care | $82 - $293 | 243% |
| Oscar Health | $84 | 249% |
| UniCare | $144 | 427% |
| + 37 smaller / regional plans | $41 - $356 |
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St Francis Hospital - the Heart Center
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
- Samaritan Medical Center · Watertown $33
- Oswego Hospital · Oswego $33
Insurance negotiated median for the same procedure, sorted lowest first.