CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: UPMC Hamot

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $34 Medicare rate · typically $29–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $34 This hospital $29 Cash price $87 Hospital's list price $145

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $29

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 $34 (about 1.0× the $34 Medicare rate). UPMC Hamot charges insurers about $29, or about $87 in cash — below the fair price — a good deal. Located in Erie, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $19 - $139 56%
Blue Cross Blue Shieldmajor $25 - $123 74%
Aetnamajor $20 - $102 59%
Cignamajor $44 - $58 130%
AmeriHealth $26 77%
Fidelis Care $38 - $84 113%
Geisinger $23 68%
HealthPartners $25 74%
Independent Health $46 - $49 136%
Molina $84 249%
UPMC Health Plan $18 - $68 53%
+ 3 smaller / regional plans $22 - $116
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: 201 State Street, Erie, PA 16550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals