CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Christ Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $37
Cash Discount Price: $31
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Christ Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.10x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $31 (92%)

Insurance Median: $37 (110%)

Cash: $31 (92% of Medicare)

Ins. Median: $37 (110% 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.

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	$13 - $39	39%
Humana	$13 - $49	39%
Kentucky Passport/Molina [2097]	$13	39%
Medicaid / KanCare	$13 - $49	39%
UnitedHealthcare	$13 - $170	39%
Wellcare Of Kentucky [2191]	$13	39%
Ohio Health Choice [2062]	$24	71%
Other Exchange Plan [9992]	$24 - $51	71%
Cigna	$27 - $51	80%
Nalc [2178]	$27	80%
Priority Health [2225]	$27	80%
Amerihealth Caritas [2230]	$31	92%
Blue Cross Blue Shield	$31 - $49	92%
Buckeye Community Health [2028]	$31	92%
Caresource [2031]	$31 - $49	92%
Life Synch [2080]	$31	92%
Multiplan/Phcs [2059]	$37	110%
Allied Benefits [2163]	$39	116%
First Health [2041]	$39	116%
Meritain Health [2224]	$39	116%
Bccp [3079]	$51	151%
Healthcare Highways [2298]	$51	151%
Sagamore Health Network [2066]	$51	151%
Suburban Health [2408]	$51	151%
Medben [2222]	$78 - $92	231%
Geha [2168]	$170	504%
Golden Rule [2161]	$170	504%
United Medical Resources [2104]	$170	504%

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 $31.
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 Christ 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.