CMS Price Transparency Data
Physical therapy (functional capacity test)
Facility: Stoughton Hospital
Billing Code: 97750 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.7× the $34 Medicare rate · typically $33–$138
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $58 Cash price $92 Hospital's list price $166
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 | $73 - $133 | 216% |
| Blue Cross Blue Shieldmajor | $145 | 430% |
| Aetnamajor | $50 - $141 | 148% |
| Cignamajor | $133 | 394% |
| Humanamajor | $47 - $150 | 139% |
| Dean Health Plan | $47 - $125 | 139% |
| GEHA | $125 | 371% |
| Health Net | $44 | 130% |
| Quartz | $47 - $291 | 139% |
| + 2 smaller / regional plans | $97 - $150 |
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Stoughton 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.