CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Hospital for Special Surgery
Billing Code: 97750 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$88
about 2.6× the $34 Medicare rate · typically $30–$250
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $88 Cash price $182 Hospital's list price $182
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 | $77 - $275 | 228% |
| Blue Cross Blue Shieldmajor | $10 - $203 | 30% |
| Aetnamajor | $184 - $204 | 546% |
| Cignamajor | $185 | 548% |
| Fidelis Care | $142 - $221 | 421% |
| GEHA | $241 | 714% |
| Harvard Pilgrim | $213 - $275 | 631% |
| Molina | $77 - $169 | 228% |
| + 9 smaller / regional plans | $77 - $241 |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Hospital for Special Surgery
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.