Physical therapy (functional capacity test)
Facility: Fort Memorial Hospital
Billing Code: 97750 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
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 $44 (about 1.3× the $34 Medicare rate). Fort Memorial Hospital charges insurers about $53, or about $54 in cash — above the fair price. Located in Fort Atkinson, WI.
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 $44. 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.
5 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 | $15 - $162 | 44% |
| Blue Cross Blue Shieldmajor | $15 - $271 | 44% |
| Aetnamajor | $46 - $160 | 136% |
| Cignamajor | $108 - $203 | 320% |
| Humanamajor | $33 - $152 | 98% |
| Dean Health Plan | $15 - $140 | 44% |
| Molina | $35 | 104% |
| Quartz | $15 - $216 | 44% |
| + 8 smaller / regional plans | $16 - $300 |
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 Fort Memorial Hospital
Compare: Physical therapy (functional capacity test) at other WI hospitals
- SSM Health St Clare Hospital - Baraboo · Baraboo $29
- SSM Health St Mary's Hospital - Madison · Madison $29
- St Josephs Community Hospital West Bend · West Bend $32
- Sauk Prairie Hospital · Prairie Du Sac $32
- Froedtert Memorial Lutheran Hospital · Milwaukee $32
- Froedtert Community Hospital · New Berlin $32
- The Monroe Clinic · Monroe $33
- SSM Health St Agnes Hospital-Fond Du Lac · Fond Du Lac $33
Insurance negotiated median for the same procedure, sorted lowest first.