CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Prisma Health Hillcrest Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $34 Medicare rate · typically $33–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
1.0× Medicare
Medicare pays $34 Fair price $34 This hospital $34 Cash price $80 Hospital's list price $123

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $34

Black dot = this hospital, among the 9 SC 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). Prisma Health Hillcrest Hospital charges insurers about $34, or about $80 in cash — about the fair price. Located in Simpsonville, SC.

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 $19 - $34 56%
Blue Cross Blue Shieldmajor $32 - $93 95%
Aetnamajor $34 - $97 101%
Cignamajor $32 - $188 95%
Humanamajor $33 - $67 98%
Ambetter (Centene) $59 175%
Molina $36 107%
MVP Health Care $188 557%
WellCare $34 101%
+ 23 smaller / regional plans $29 - $188
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 741 South East Main Street, Simpsonville, SC 29681
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals