CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Penn State Health St. Joseph

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $34 Medicare rate · typically $25–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $4 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $36 This hospital $32 Cash price $54 Hospital's list price $207

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 $32

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). Penn State Health St. Joseph charges insurers about $32, or about $54 in cash — below the fair price — a good deal. Located in Reading, PA.

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 $32 - $140 95%
Blue Cross Blue Shieldmajor $28 - $122 83%
Aetnamajor $33 - $106 98%
Cignamajor $127 377%
Humanamajor $33 98%
AmeriHealth $28 - $32 83%
Cigna HealthSpring $33 98%
Geisinger $29 - $149 86%
HealthPartners $30 - $33 89%
UPMC Health Plan $33 - $153 98%
+ 3 smaller / regional plans $30 - $103
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2500 Bernville Road, Reading, PA 19605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals