CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Memorial Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $78
Cash Discount Price: $148
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Memorial Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 2.31x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $148 (439%)

Insurance Median: $78 (231%)

Cash: $148 (439% of Medicare)

Ins. Median: $78 (231% 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 231% of the Medicare baseline (a markup of 131%). 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
Buckeye Community Health Plan	$19 - $163	56%
Caresource	$19 - $163	56%
Health Ohio Network	$19 - $157	56%
Molina Healthcare Of Ohio	$19 - $163	56%
UnitedHealthcare	$19 - $163	56%
Health Alliance Plan	$20 - $163	59%
Aetna	$30 - $163	89%
Summacare	$30 - $126	89%
Blue Cross Blue Shield	$31 - $163	92%
Paramount Healthcare Inc	$31 - $134	92%
Frontpath	$32 - $139	95%
Humana	$32 - $106	95%
Cigna	$36 - $158	107%
Multiplan	$67 - $204	199%
Meridian Health Plan Of Mi	$78 - $106	231%
Amerihealth	$100 - $134	296%
Medical Mutual Of Ohio	$103 - $152	305%

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 $148.
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 Memorial 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.