CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 0.9× the $34 Medicare rate · typically $32–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $34 Fair price $32 This hospital $33 Cash price $92 Hospital's list price $123

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 0 of 8 other UT hospitals charge more for the same procedure.

Cheapest $32 Priciest $33

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

A fair price for a Physical therapy (functional capacity test) is about $32 (about 0.9× the $34 Medicare rate). Intermountain Health Fillmore Community Hospital charges insurers about $33, or about $92 in cash — about the fair price. Located in Fillmore, UT.

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 $33 - $117 98%
Blue Cross Blue Shieldmajor $33 - $117 98%
Aetnamajor $33 - $118 98%
Cignamajor $117 347%
Humanamajor $33 - $57 98%
HealthPartners $33 - $57 98%
Molina $33 - $117 98%
SelectHealth $33 - $117 98%
+ 30 smaller / regional plans $33 - $118
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals