Physical therapy (functional capacity test)
Facility: Bmh-Calhoun
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $127
- Cash Discount Price: $85
- vs. Medicare Baseline: 3.77x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $33.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 377% of the Medicare baseline (a markup of 277%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $34 - $73 | 101% |
| PPO Holdings | $62 | 184% |
| Magnolia Regional Health Center | $66 | 196% |
| Tricare | $67 | 199% |
| Vaccn | $71 | 210% |
| Triwest | $71 | 210% |
| Molina | $71 - $130 | 210% |
| Ms Breast and Cervical | $71 | 210% |
| Devoted Health | $72 | 213% |
| Humana | $74 - $131 | 219% |
| Primewell | $74 | 219% |
| Shared Health | $74 | 219% |
| Aetna | $74 - $107 | 219% |
| American Health Plan | $74 | 219% |
| Magnolia Ms | $80 | 237% |
| Littler | $82 | 243% |
| Cigna | $90 | 267% |
| First Choice Health Plan of Ms | $106 | 314% |
| First State Bank Trust | $120 | 356% |
| Burch Food Services | $120 | 356% |
| Arlington Community Schools | $127 | 377% |
| Eas Mssc Schools | $127 | 377% |
| Security One | $127 | 377% |
| Carlisle | $127 | 377% |
| Minact | $127 | 377% |
| Ashley Furniture Stores | $127 | 377% |
| Rei Nation | $127 | 377% |
| Heavy Machines | $127 | 377% |
| Watkins Uiberall | $127 | 377% |
| Mechanical Systems | $127 | 377% |
| Crittenden County | $127 | 377% |
| Building Plastic | $127 | 377% |
| Bartlett City Schools | $127 | 377% |
| City of Bartlett | $127 | 377% |
| Gossett Motor Cars | $127 | 377% |
| Brimhall Foods | $127 | 377% |
| Cannon Motor Company | $127 | 377% |
| First Community Bank | $127 | 377% |
| Y K Auto Group | $127 | 377% |
| Hattiesburg Clinic | $127 | 377% |
| Hospitality Management Advisors | $127 | 377% |
| Lakeland School System | $127 | 377% |
| Vaughn Electric | $127 | 377% |
| Davidson Hospitality | $127 | 377% |
| Jas D Collier | $127 | 377% |
| Armstrong Relocation | $127 | 377% |
| W W Wood Products | $127 | 377% |
| Collierville Schools | $127 | 377% |
| Desoto Co Board of Supervisors | $127 | 377% |
| United Tn Holdings | $127 | 377% |
| Dunn Investment Company | $127 | 377% |
| Radians | $127 | 377% |
| Heartland Catfish Company | $127 | 377% |
| Patterson Warehouses | $127 | 377% |
| Retzer Resources | $127 | 377% |
| Malco Theaters | $127 | 377% |
| Ritchey Automotive | $127 | 377% |
| French Camp Academy | $127 | 377% |
| Delta Industries | $127 | 377% |
| Hollowell Industries | $127 | 377% |
| State Systems | $127 | 377% |
| Mid-South Transport | $127 | 377% |
| W G Yates | $127 | 377% |
| Silver Tree | $127 | 377% |
| Town of Collierville | $127 | 377% |
| City of Lakeland | $127 | 377% |
| Advanced Health Systems Inc. | $131 | 388% |
| Christian Health Aid | $131 | 388% |
| PPO Plus | $139 | 412% |
| Employers Health Network | $141 | 418% |
| Harding Academy | $141 | 418% |
| Multiplan | $148 | 439% |
| Qca | $148 | 439% |