CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Maury Regional Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $51
Cash Discount Price: $67
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Maury Regional Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.51x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $67 (199%)

Insurance Median: $51 (151%)

Cash: $67 (199% of Medicare)

Ins. Median: $51 (151% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Wellpoint	$28 - $39	83%
Wellpoint Tci	$28	83%
Blue Cross Blue Shield	$30 - $153	89%
UnitedHealthcare	$31 - $32	92%
American Health Plans	$32 - $33	95%
Cigna	$32	95%
Farm Bureau Health Plans	$32	95%
Humana	$32	95%
Medicare (plans)	$32	95%
Aetna	$33 - $138	98%
Nhc	$33	98%
Wellcare Harmony Health	$33	98%
Medrisk	$47	139%
State Of Tennessee	$47	139%
Occucomp	$51	151%
Spnet	$54	160%
Ambetter / Centene	$56 - $80	166%
Onecall Medical	$57	169%
Wayne County Jail	$67 - $76	199%
Oscar	$81	240%
Lawrence County Jail	$100 - $115	296%
Lewis County Jail	$100 - $115	296%
Marshall County Jail	$100 - $115	296%
Beech Street	$107 - $122	317%
Multiplan	$107 - $122	317%
Phcs	$107 - $122	317%
Firsthealth	$129 - $147	382%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Maury Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.