CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Cjw Medical Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $35
Cash Discount Price: $420
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Cjw Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 7101 Jahnke Road, Richmond, VA.

Cash / Self-Pay

$420

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $420 (1245%)

Insurance Median: $35 (104%)

Cash: $420 (1245% of Medicare)

Ins. Median: $35 (104% 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
Triatlantic	$28	83%
Aetna	$30 - $139	89%
Devoted	$30 - $34	89%
Humana	$30 - $34	89%
Sentara Health	$30 - $34	89%
United	$30 - $189	89%
United Behavioral Health	$30 - $34	89%
Cigna	$31 - $36	92%
Davita Village Health	$31 - $36	92%
Health Net	$31	92%
Virginia Premier Health	$31 - $35	92%
Align Senior Care	$32 - $37	95%
Clear Spring Health Plan	$32 - $36	95%
Pyramid Life	$32 - $37	95%
Johns Hopkins	$33	98%
Naphcare	$41 - $46	122%
Bright Health	$68	202%
Oscar	$71	210%
Lifeworks	$80	237%
Universal Healthcare Group	$92	273%
Virginia Health Network	$147 - $273	436%
Greenvbrier Sporting Club	$252	747%
Value Options	$252	747%
Corvel	$302	895%
Evernorth	$336	996%
Occunet Workers Comp	$336	996%
4Most Health Nework	$378	1121%
Multiplan	$378	1121%

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 $420.
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 Cjw 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.