CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Ellenville Regional Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$60
about 1.8× the $34 Medicare rate · typically $41–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $21 under the fair price · 1.1× Medicare
Medicare pays $34 Fair price $60 This hospital $39 Cash price $92 Hospital's list price $122

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $39

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 $60 (about 1.8× the $34 Medicare rate). Ellenville Regional Hospital charges insurers about $39, or about $92 in cash — below the fair price — a good deal. Located in Ellenville, NY.

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✓ Humana CignaKaiser 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 $18 - $161 53%
Blue Cross Blue Shieldmajor $49 145%
Aetnamajor $56 - $115 166%
Humanamajor $49 145%
CDPHP $45 133%
EmblemHealth $37 - $98 110%
Fidelis Care $49 145%
MVP Health Care $39 - $187 116%
WellCare $39 - $67 116%
+ 3 smaller / regional plans $37 - $161
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10 Healthy Way, Ellenville, NY 12428
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals