CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Clarion Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.0× the $34 Medicare rate · typically $30–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $34 Fair price $33 This hospital $34 Cash price $48 Hospital's list price $86

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 $34

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 $33 (about 1.0× the $34 Medicare rate). Clarion Hospital charges insurers about $34, or about $48 in cash — about the fair price. Located in Clarion, 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 $32 95%
Blue Cross Blue Shieldmajor $29 - $72 86%
Aetnamajor $33 - $77 98%
Cignamajor $32 - $43 95%
AmeriHealth $32 95%
Devoted Health $34 101%
Geisinger $34 101%
UPMC Health Plan $12 - $53 36%
+ 7 smaller / regional plans $30 - $75
Government programs also on file: Medicare, Military & VA.
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: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals