Physical therapy (functional capacity test)
Facility: Mercy Medical Center
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $121 compared to the $79 fair price benchmark.
5-Star CMS clinical quality rating paired with 1.53× fair market pricing.
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $79 (about 2.3× the $34 Medicare rate). Mercy Medical Center charges insurers about $121 — above the fair price. Located in Rockville Centre, NY.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $79. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $133 - $293 | 394% |
| AmeriHealth | $92 | 273% |
| Fidelis Care | $82 - $184 | 243% |
| Independent Health | $82 | 243% |
| MVP Health Care | $82 - $293 | 243% |
| Oscar Health | $84 | 249% |
| UniCare | $133 | 394% |
| + 40 smaller / regional plans | $41 - $356 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Medical 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
- Wynn Hospital · Utica $33
- Geneva General Hospital · Geneva $33
- Niagara Falls Memorial Medical Center · Niagara Falls $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $74
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $74).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mercy Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $79 Fair BaseRate ($34 Medicare)
Your bill ($205) is $126 above the denoised Fair BaseRate ($79) and 6.0× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.