CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Wood County Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $72
Cash Discount Price: $88
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Wood County Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.13x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $88 (261%)

Insurance Median: $72 (213%)

Cash: $88 (261% of Medicare)

Ins. Median: $72 (213% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$32 - $72	95%
Blue Cross Blue Shield	$32 - $70	95%
Buckeye	$32 - $54	95%
Caresource	$32 - $38	95%
Humana	$32 - $81	95%
Medicare (plans)	$32	95%
Medigold	$32	95%
Mmo	$32 - $78	95%
Paramount	$32 - $70	95%
Perennial	$32	95%
Summacare	$32	95%
United_Healthcare	$32 - $78	95%
Valor	$33	98%
Frontpath	$70	208%
Advanced_Medical_Pricing	$72	213%
Cigna	$72	213%
Medben	$72	213%
Occunet	$72	213%
Ohio_Health_Choice	$75 - $80	222%
Claimdoc	$77	228%
First_Health	$79	234%
Health_Ohio_Network	$79	234%
Healthscope_Benefits	$82	243%
Primary_Health_Services_Dca	$82	243%
Multiplan	$83	246%
Private_Healthcare_Systems	$83	246%
Three_Rivers_Provider_Network	$83	246%
Unicare	$83	246%
Beech_Street	$84	249%
Flora	$84	249%
Npn_Medical_Resources	$84	249%
Ohio_Preferred_Provider_Network	$84	249%
Ohio_Health_Group	$85	252%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $88.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Wood County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.