CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Washington Hospital, The

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$36
about 1.1× the $34 Medicare rate · typically $21–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $16 under the fair price · 0.6× Medicare
Medicare pays $34 Fair price $36 This hospital $20 Cash price $60 Hospital's list price $96

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 0 of 8 other PA hospitals charge more for the same procedure.

Cheapest $19 Priciest $20

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

A fair price for a Physical therapy (functional capacity test) is about $36 (about 1.1× the $34 Medicare rate). Washington Hospital, The charges insurers about $20, or about $60 in cash — below the fair price — a good deal. Located in Washington, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $12 - $100 36%
Aetnamajor $10 - $110 30%
Cignamajor $15 - $120 44%
AmeriHealth $19 56%
UPMC Health Plan $8 - $68 24%
+ 2 smaller / regional plans $17 - $140
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 155 Wilson Avenue, Washington, PA 15301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals