Physical therapy (functional capacity test)
Facility: Copley Hospital
Billing Code: 97750 (CPT)
This hospital's typical commercial price is $119 compared to the $52 fair price benchmark.
2-Star CMS clinical quality rating paired with 2.29× fair market pricing.
Highest price of the 8 VT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 8 VT hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (functional capacity test) is about $52 (about 1.5× the $34 Medicare rate). Copley Hospital charges insurers about $119, or about $122 in cash — well above the fair price. Located in Morrisville, VT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $52. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
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 | $64 - $146 | 190% |
| Blue Cross Blue Shieldmajor | $65 - $133 | 193% |
| Cignamajor | $142 - $146 | 421% |
| Harvard Pilgrim | $64 - $136 | 190% |
| MVP Health Care | $64 - $120 | 190% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Copley Hospital
Compare: Physical therapy (functional capacity test) at other VT hospitals
- Springfield Hospital · Springfield $24
- Brattleboro Memorial Hospital · Brattleboro $33
- Southwestern Vermont Medical Center · Bennington $33
- Northeastern Vermont Regional Hospital · Saint Johnsbury $33
- Central Vermont Medical Center · Barre $34
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $38
- Porter Hospital Inc · Middlebury $83
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Copley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $55
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $55).
Self-Pay Cash Rate ($122) Beats Your Bill
Copley Hospital's published 45 CFR § 180 self-pay cash rate is $122 (vs. $119 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $52 Fair BaseRate ($34 Medicare)
Your bill ($152) is $100 above the denoised Fair BaseRate ($52) and 4.5× the $34 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.