Physical therapy (functional capacity test)
Facility: UPMC Children's Hospital of Pittsburgh
Billing Code: 97750 (CPT)
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 $49 (about 1.4× the $34 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $68, or about $193 in cash — above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $49. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $66 - $151 | 196% |
| Blue Cross Blue Shieldmajor | $68 - $160 | 202% |
| Aetnamajor | $25 - $177 | 74% |
| Cignamajor | $151 - $177 | 448% |
| AmeriHealth | $63 | 187% |
| Geisinger | $69 - $144 | 205% |
| HealthPartners | $65 | 193% |
| UPMC Health Plan | $39 - $84 | 116% |
| + 7 smaller / regional plans | $68 - $289 |
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 UPMC Children's Hospital of Pittsburgh
Compare: Physical therapy (functional capacity test) at other PA hospitals
- UPMC Muncy · Muncy $19
- UPMC Wellsboro · Wellsboro $19
- Geisinger-Community Medical Center · Scranton $20
- Geisinger-Bloomsburg Hospital · Bloomsburg $20
- Washington Hospital, The · Washington $20
- Geisinger-Lewistown Hospital · Lewistown $20
- St Lukes Hospital · Bethlehem $20
- UPMC Greene · Waynesburg $20
Insurance negotiated median for the same procedure, sorted lowest first.