CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: St Josephs Community Hospital West Bend

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $34 Medicare rate · typically $33–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $16 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $48 This hospital $32

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 3 of 8 other WI hospitals charge more for the same procedure.

Cheapest $29 Priciest $33

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

A fair price for a Physical therapy (functional capacity test) is about $48 (about 1.4× the $34 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $32 — below the fair price — a good deal. Located in West Bend, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 95%
Blue Cross Blue Shieldmajor $32 95%
Aetnamajor $33 98%
Humanamajor $32 95%
HealthPartners $32 95%
Molina $32 95%
Security Health Plan $32 95%
+ 5 smaller / regional plans $32 - $33

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Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals