CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Knapp Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $33
Cash Discount Price: $32
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Knapp Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $32 (95%)

Insurance Median: $33 (98%)

Cash: $32 (95% of Medicare)

Ins. Median: $33 (98% 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
Corvel	$23	68%
Zelis Healthcare Fka Stratose	$25	74%
Provider Network Of America	$26	77%
Provider Select	$29	86%
Three Rivers	$29	86%
Americas Choice Provider Network (Acpn)	$32	95%
Division Of Immigration Health	$32	95%
Blue Cross Blue Shield	$33 - $129	98%
Cigna	$33 - $34	98%
Coventry (First Health)	$33	98%
Medicare (plans)	$33	98%
Prime Health Services	$33	98%
Superior Health Plan	$33 - $43	98%
Texas Bluebonnet Health Plan	$33 - $54	98%
Tricare	$33	98%
UnitedHealthcare	$33	98%
Veterans Evaluation Services	$33	98%
Wellmed Aarp Ma Fka Physicians Health Choice	$33	98%
Worker Comp	$33	98%
Molina	$34 - $51	101%
Multiplan	$34	101%
Provider Partners Health Plan	$34	101%
Imperial Insurance Companies	$35	104%
Texas Oncology Pa Op	$41	122%
Frontier Health (Fka Asserta Health)	$43	127%
Magic Valley Electric Cooperative	$43	127%
Employer Direct Healthcare	$46	136%
Corporate Remedies (Wc)	$49	145%
Naphcare	$51	151%
Occunet	$57	169%
Baker Benefits Administrators	$66	196%

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 $32.
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 Knapp Medical Center 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.