CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Gundersen Lutheran Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$45
about 1.3× the $34 Medicare rate · typically $33–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $2 under the fair price · 1.3× Medicare
Medicare pays $34 Fair price $45 This hospital $43 Cash price $100 Hospital's list price $265

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $43

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 $45 (about 1.3× the $34 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $43, or about $100 in cash — about the fair price. Located in La Crosse, WI.

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 $15 - $306 44%
Blue Cross Blue Shieldmajor $15 - $486 44%
Aetnamajor $43 - $356 127%
Cignamajor $127 - $308 377%
Humanamajor $147 - $356 436%
Amerigroup $15 - $43 44%
Dean Health Plan $65 - $157 193%
HealthPartners $78 - $331 231%
Medica $52 - $287 154%
Molina $15 44%
Quartz $66 - $159 196%
UCare $43 - $300 127%
+ 15 smaller / regional plans $15 - $338
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals