CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Baptist Beaumont Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $48
Cash Discount Price: $12
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Baptist Beaumont Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $12 (36%)

Insurance Median: $48 (142%)

Cash: $12 (36% of Medicare)

Ins. Median: $48 (142% 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
Americhoice - All Plans	$9	27%
Amerigroup - All Plans	$9	27%
Community Health Choice - All Plans	$9	27%
Medicaid / KanCare	$9 - $12	27%
Tchp Chips - All Plans	$9	27%
Beacon Health - All Plans	$11	33%
Signature Health - All Plans	$29	86%
Aetna	$32 - $49	95%
Ameri-Plus Ppo-All Plans	$32	95%
Blue Cross Blue Shield	$32 - $77	95%
Cigna	$32 - $112	95%
Superior Health Plan Mcr Adv	$32	95%
Texan Plus-All Plans	$32	95%
Superior Health Plan Comm - All Other Plans	$37	110%
Texas Exchange Plans - All Plans	$37	110%
Central Healthcare Services - All Plans	$47	139%
Humana	$47 - $159	139%
Mhhnp-All Plans	$47	139%
Correctcare - All Plans	$48	142%
Naphcare Inc - All Plans	$48	142%
Texas School Health Benefits - All Plans	$48	142%
Preferred Care Services - All Plans	$54	160%
Pponext - All Plans	$61	181%
Multiplan - All Plans	$66	196%
Phcs - All Plans	$66	196%
First Health - All Plans	$70	208%
Healthsmart - All Plans	$70	208%
Managed Healthcare Inc - All Plans	$70	208%
Brookshire Brothers - All Plans	$72	213%
Blue Bell - All Plans	$75	222%
Imagine Healthcare (Smartcare) - All Plans	$93	276%

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 $12.
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 Baptist Beaumont 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.