Physical therapy (functional capacity test)
Facility: South Texas Health System
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $66 compared to the $40 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.65× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX 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 $40 (about 1.2× the $34 Medicare rate). South Texas Health System charges insurers about $66, or about $569 in cash — above the fair price. Located in Edinburg, TX.
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 $40. 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 | $34 - $333 | 101% |
| Blue Cross Blue Shieldmajor | $66 - $111 | 196% |
| Aetnamajor | $146 - $756 | 433% |
| Cignamajor | $57 - $417 | 169% |
| Molina | $35 - $72 | 104% |
| + 8 smaller / regional plans | $35 - $550 |
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 South Texas Health System
Compare: Physical therapy (functional capacity test) at other TX hospitals
- PAM Specialty Hospital of Texarkana North · Texarkana $21
- Parkland Health & Hospital System · Dallas $22
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $22
- Winkler County Memorial Hospital · Kermit $25
- Bellville Medical Center · Bellville $27
- Ascension Seton Medical Center Austin · Austin $32
- Cuero Regional Hospital · Cuero $32
- Ascension Seton Southwest · Austin $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at South Texas Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $276
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 = $276).
Self-Pay Cash Rate ($569) Beats Your Bill
South Texas Health System's published 45 CFR § 180 self-pay cash rate is $569 (vs. $66 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $40 Fair BaseRate ($34 Medicare)
Your bill ($759) is $719 above the denoised Fair BaseRate ($40) and 22.3× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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.