CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: St Anthony Community Hospital
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$211
about 6.2× the $34 Medicare rate · typically $41–$231
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $211 Cash price $399 Hospital's list price $399
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 | $193 - $244 | 572% |
| Blue Cross Blue Shieldmajor | $198 - $1,224 | 587% |
| Aetnamajor | $180 - $377 | 534% |
| Cignamajor | $279 | 827% |
| CDPHP | $200 | 593% |
| Geisinger | $120 | 356% |
| MagnaCare | $390 - $413 | 1156% |
| Molina | $38 | 113% |
| MVP Health Care | $36 - $286 | 107% |
| + 7 smaller / regional plans | $36 - $270 |
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Anthony Community 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
- Samaritan Medical Center · Watertown $33
- Oswego Hospital · Oswego $33
Insurance negotiated median for the same procedure, sorted lowest first.