CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Carilion Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $34 Medicare rate · typically $32–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $37 This hospital $32 Cash price $54 Hospital's list price $153

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $31 Priciest $32

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

A fair price for a Physical therapy (functional capacity test) is about $37 (about 1.1× the $34 Medicare rate). Carilion Medical Center charges insurers about $32, or about $54 in cash — below the fair price — a good deal. Located in Roanoke, VA.

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 $32 - $125 95%
Blue Cross Blue Shieldmajor $31 92%
Aetnamajor $32 - $102 95%
Cignamajor $103 - $110 305%
Humanamajor $32 95%
Sentara $31 - $95 92%
+ 8 smaller / regional plans $84 - $145

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1906 Belleview Avenue, Se, Roanoke, VA 24014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals