CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 0.9× the $34 Medicare rate · typically $19–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Below the fair price — a good deal
about $9 under the fair price · 0.7× Medicare
Medicare pays $34 Fair price $32 This hospital $23 Cash price $73 Hospital's list price $143

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 7 of 8 other OH hospitals charge more for the same procedure.

Cheapest $21 Priciest $32

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $32 (about 0.9× the $34 Medicare rate). Cincinnati Children's Hospital Medical Center charges insurers about $23, or about $73 in cash — below the fair price — a good deal. Located in Cincinnati, 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 $16 - $126 47%
Blue Cross Blue Shieldmajor $19 - $126 56%
Aetnamajor $15 - $142 44%
Cignamajor $60 - $128 178%
Humanamajor $16 - $126 47%
AmeriHealth $20 - $126 59%
CareSource $19 - $126 56%
Medical Mutual $67 - $146 199%
Molina $20 - $126 59%
WellCare $16 - $33 47%
+ 14 smaller / regional plans $21 - $152
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens