Physical therapy (functional capacity test)
Facility: University Medical Center
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $147
- Cash Discount Price: $171
- vs. Medicare Baseline: 4.36x 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 436% of the Medicare baseline (a markup of 336%). 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 |
|---|---|---|
| Aig | $27 - $163 | 80% |
| Beech Street | $27 - $163 | 80% |
| Cement Masons & Plasters H&W | $27 - $147 | 80% |
| Cirque De Soleil | $28 - $138 | 83% |
| National Security Technologies | $28 - $138 | 83% |
| Kaiser | $28 - $138 | 83% |
| Cigna | $28 - $138 | 83% |
| Great West Healthcare | $28 - $138 | 83% |
| City of North Las Vegas | $28 - $147 | 83% |
| UnitedHealthcare | $29 - $323 | 86% |
| Surest | $29 - $323 | 86% |
| Switch | $29 - $147 | 86% |
| Las Vegas Firefighters 1285 | $29 - $147 | 86% |
| American Postal Workers Health Plan | $29 - $323 | 86% |
| Teamsters Local 14 | $38 - $147 | 113% |
| Boyd Group | $38 - $147 | 113% |
| Laborers Health and Welfare | $38 - $147 | 113% |
| Teamsters Local 631 | $38 - $147 | 113% |
| Teamsters Local 986 | $38 - $147 | 113% |
| Electrical Workers | $38 - $147 | 113% |
| Bricklayers Local 13 | $38 - $147 | 113% |
| Ufcw Local 711 Retail Clerks | $38 - $147 | 113% |
| Blue Cross Blue Shield | $38 - $342 | 113% |
| Caesar's Entertainment | $38 - $147 | 113% |
| Plumbers & Pipefitters Loc 525 | $38 - $147 | 113% |
| California Ironwork Field Welfare | $38 - $138 | 113% |
| Operating Engineers | $38 - $147 | 113% |
| So Ca Pipe Trades H&W | $38 - $138 | 113% |
| Sheet Metal Workers | $38 - $138 | 113% |
| Southwest Carpenters H&W | $38 - $138 | 113% |
| Aetna | $51 - $248 | 151% |
| Advantra Freedom | $138 | 409% |
| Resorts World Las Vegas | $147 | 436% |
| Clark County Firefighters 1908 | $147 | 436% |
| Las Vegas Metro Police Dept | $147 | 436% |
| Employee Painters Trust | $147 | 436% |
| Nevada Hand | $147 | 436% |
| Mirage Las Vegas | $147 | 436% |
| Mgm Grand | $147 | 436% |
| Wynn Resorts | $147 | 436% |
| City of Henderson | $147 | 436% |
| Clark County EPO | $147 | 436% |
| Culinary Workers Hwf | $147 | 436% |
| Clark County Self Funded | $147 | 436% |
| Golden Entertainment | $153 | 454% |
| Marshall Retail Group | $153 | 454% |
| Teacher's Health Trust | $153 | 454% |
| Truline Corporation | $153 | 454% |
| Arroweye Solutions | $153 | 454% |
| P3 Health Partners | $153 | 454% |
| Sierra Health and Life | $153 - $342 | 454% |
| Dignity Health | $153 | 454% |
| Rebel Oil Company | $153 | 454% |
| Stations Casinos | $153 | 454% |
| Venetian/Palazzo | $153 | 454% |
| State of Nevada | $153 | 454% |
| Pli Las Vegas | $153 | 454% |
| Golden Nugget Hotel & Casino | $153 | 454% |
| Molina | $165 - $342 | 489% |
| Clark County Detention Center | $165 | 489% |
| Scan | $165 | 489% |
| Alignment Health | $165 | 489% |
| Nevada Energy | $193 | 572% |
| Coventry | $193 | 572% |
| Mail Handlers Benefit Plan | $193 | 572% |
| Laughlin Coalition | $215 | 637% |
| Hometown Health Plan of Nevada | $243 | 720% |
| One Health Plan | $243 | 720% |
| First Health | $270 | 800% |
| Health Net | $270 - $468 | 800% |
| Three Rivers Provider Network | $270 | 800% |
| Selecthealth | $303 | 898% |
| Ambetter / Centene | $303 - $342 | 898% |
| Health Direct Partners | $303 | 898% |
| Las Vegas Sand Corps | $323 | 958% |
| Jw Marriott | $331 | 981% |
| Zuffa | $331 | 981% |
| Nevada Preferred Professionals | $331 | 981% |
| Prominence Health Plan | $331 | 981% |
| Universal Health Network (Uhn) | $331 | 981% |
| VA Pc3 (VA Choice) | $496 | 1471% |