Physical therapy (functional capacity test)
Facility: Excela Health Westmoreland Regional Hospital
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $35 compared to the $34 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.03× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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). Excela Health Westmoreland Regional Hospital charges insurers about $35, or about $58 in cash — about the fair price. Located in Greensburg, 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
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 | $33 - $35 | 98% |
| Blue Cross Blue Shieldmajor | $30 - $70 | 89% |
| Aetnamajor | $33 - $73 | 98% |
| Cignamajor | $34 - $80 | 101% |
| Humanamajor | $33 | 98% |
| Ambetter (Centene) | $40 | 119% |
| AmeriHealth | $34 | 101% |
| Devoted Health | $34 | 101% |
| Geisinger | $34 | 101% |
| HealthPartners | $33 | 98% |
| UPMC Health Plan | $12 - $53 | 36% |
| + 9 smaller / regional plans | $33 - $77 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Excela Health Westmoreland Regional Hospital
Compare: Physical therapy (functional capacity test) at other PA hospitals
- UPMC Muncy · Muncy $19
- UPMC Wellsboro · Wellsboro $19
- Washington Hospital, The · Washington $20
- St Lukes Hospital · Bethlehem $20
- UPMC Greene · Waynesburg $20
- St Luke's Hospital - Easton Campus · Easton $20
- St Luke's Miners Memorial Hospital · Coaldale $20
- St Luke's Hospital - Monroe Campus · Stroudsburg $20
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Excela Health Westmoreland Regional Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $35
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $35).
Self-Pay Cash Rate ($58) Beats Your Bill
Excela Health Westmoreland Regional Hospital's published 45 CFR § 180 self-pay cash rate is $58 (vs. $35 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $34 Fair BaseRate ($34 Medicare)
Your bill ($96) is $62 above the denoised Fair BaseRate ($34) and 2.8× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.