CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Yoakum Community Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 3.1× the $34 Medicare rate · typically $35–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $9 over the fair price · 3.4× Medicare
Medicare pays $34 Fair price $107 This hospital $116 Cash price $122 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $116

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (functional capacity test) is about $107 (about 3.1× the $34 Medicare rate). Yoakum Community Hospital charges insurers about $116, or about $122 in cash — about the fair price. Located in Yoakum, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $77 - $150 228%
Blue Cross Blue Shieldmajor $78 - $140 231%
Aetnamajor $169 501%
Cignamajor $150 445%
Humanamajor $77 228%
+ 10 smaller / regional plans $77 - $159
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1200 Carl Ramert Drive, Yoakum, TX 77995
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals