CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Aurora Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$140
about 4.1× the $34 Medicare rate · typically $37–$299
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $140 Cash price $88 Hospital's list price $175

How we calculate the fair BaseRate →

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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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 975 Port Washington Road, Grafton, WI 53024
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals