CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: The Miriam Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 2.0× the $34 Medicare rate · typically $35–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$67
About the fair price
2.0× Medicare
Medicare pays $34 Fair price $67 This hospital $67 Cash price $153 Hospital's list price $153

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 2 of 3 other RI hospitals charge less.

Cheapest $35 Priciest $73

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $67 (about 2.0× the $34 Medicare rate). The Miriam Hospital charges insurers about $67, or about $153 in cash — about the fair price. Located in Providence, RI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $33 - $78 98%
Aetnamajor $35 104%
Cignamajor $194 575%
Tufts Health Plan $119 353%
+ 1 smaller / regional plan $63

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals