Physical therapy (functional capacity test)
Facility: Shriners Hospitals for Children
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $45 compared to the $37 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Physical therapy (functional capacity test) is about $37 (about 1.1× the $34 Medicare rate). Shriners Hospitals for Children charges insurers about $45, or about $453 in cash — above the fair price. Located in Greenville, SC.
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 $37. 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $45 - $53 | 133% |
| Aetnamajor | $32 | 95% |
| Cignamajor | $130 | 385% |
| Humanamajor | $49 | 145% |
| Ambetter (Centene) | $32 - $49 | 95% |
| AmeriHealth | $17 - $37 | 50% |
| Molina | $49 | 145% |
| Providence Health Plan | $139 | 412% |
| SelectHealth | $49 | 145% |
| + 1 smaller / regional plan | $45 |
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 Shriners Hospitals for Children
Compare: Physical therapy (functional capacity test) at other SC hospitals
- Conway Medical Center · Conway $32
- Beaufort County Memorial Hospital · Beaufort $32
- Trident Medical Center · Charleston $32
- Grand Strand Regional Medical Center · Myrtle Beach $32
- Cannon Memorial Hospital · Pickens $33
- Anmed Health · Anderson $33
- Colleton Medical Center · Walterboro $33
- Prisma Health Oconee Memorial Hospital · Seneca $34
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Shriners Hospitals for Children (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $164
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 = $164).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Shriners Hospitals for Children's published 45 CFR § 180 self-pay cash rate is $453 (vs. $45 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $37 Fair BaseRate ($34 Medicare)
Your bill ($453) is $416 above the denoised Fair BaseRate ($37) and 13.3× the $34 Medicare rate.
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.