CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Memorial Hospital of Converse County

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.4× the $34 Medicare rate · typically $27–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $1 under the fair price · 1.4× Medicare
Medicare pays $34 Fair price $49 This hospital $48 Cash price $145 Hospital's list price $254

How we calculate the fair BaseRate →

How this hospital compares to other WY hospitals

On the higher side — 2 of 3 other WY hospitals charge less.

Cheapest $34 Priciest $70

Black dot = this hospital, among the 4 WY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $49 (about 1.4× the $34 Medicare rate). Memorial Hospital of Converse County charges insurers about $48, or about $145 in cash — about the fair price. Located in Douglas, WY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $48 142%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 111 South 5Th Street, Douglas, WY 82633
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals