CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Aurora Lakeland Medical Center
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$220
about 6.5× the $34 Medicare rate · typically $65–$283
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $220 Cash price $88 Hospital's list price $175
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✓ Cigna HumanaKaiser 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 | $147 - $302 | 436% |
| Blue Cross Blue Shieldmajor | $149 - $357 | 442% |
| Aetnamajor | $145 - $222 | 430% |
| Cignamajor | $148 - $320 | 439% |
| HealthPartners | $131 - $350 | 388% |
| Molina | $266 | 789% |
| Quartz | $270 - $320 | 800% |
| + 10 smaller / regional plans | $105 - $378 |
Self-Pay How to get the cash price
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Other Procedures at Aurora Lakeland Medical Center
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.