CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Mount Carmel St Ann's

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$37
about 1.1× the $34 Medicare rate · typically $32–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $34 Fair price $37 This hospital $42 Cash price $100 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $21 Priciest $42

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $37 (about 1.1× the $34 Medicare rate). Mount Carmel St Ann's charges insurers about $42, or about $100 in cash — about the fair price. Located in Westerville, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $32 - $283 95%
Blue Cross Blue Shieldmajor $32 - $154 95%
Aetnamajor $32 - $154 95%
Cignamajor $232 688%
Humanamajor $79 - $154 234%
AmeriHealth $72 213%
CareSource $112 332%
GEHA $69 - $283 205%
HealthLink $116 344%
HealthPartners $232 688%
MagnaCare $72 213%
Medical Mutual $59 - $122 175%
MVP Health Care $232 688%
Oscar Health $53 157%
Paramount $81 240%
Priority Health $232 688%
Sentara $154 457%
UniCare $72 213%
+ 90 smaller / regional plans $33 - $632
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals