Test or measurement for functional capacity, each 15 minutes
Medicare pricing data for 7,167 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Test or measurement for functional capacity, each 15 minutes (HCPCS code 97750) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.76, but hospitals typically charge $89.53 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.76, your out-of-pocket cost would be approximately $5.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $22.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $33 | $90 | 16 | 434 | +16.2% |
| District of Columbia | $31 | $74 | 28 | 820 | +9.5% |
| California | $31 | $94 | 577 | 35,646 | +9.0% |
| New Jersey | $31 | $188 | 566 | 23,567 | +7.4% |
| Massachusetts | $31 | $59 | 100 | 5,663 | +6.9% |
| Montana | $31 | $66 | 31 | 379 | +6.5% |
| Washington | $30 | $75 | 144 | 2,341 | +5.6% |
| Maryland | $30 | $72 | 406 | 16,862 | +5.4% |
| Rhode Island | $30 | $54 | 13 | 80 | +5.0% |
| Vermont | $30 | $56 | 10 | 276 | +4.7% |
| New York | $30 | $96 | 371 | 17,215 | +3.1% |
| New Hampshire | $29 | $63 | 30 | 859 | +1.9% |
| South Dakota | $29 | $69 | 27 | 420 | +1.4% |
| Connecticut | $29 | $73 | 113 | 1,755 | +1.4% |
| Virginia | $29 | $69 | 308 | 18,931 | +0.7% |
| Michigan | $29 | $97 | 204 | 12,832 | +0.7% |
| Wyoming | $29 | $76 | 43 | 994 | +0.4% |
| West Virginia | $29 | $61 | 22 | 422 | -0.3% |
| Minnesota | $28 | $91 | 204 | 5,455 | -1.3% |
| Puerto Rico | $28 | $31 | 4 | 25 | -1.6% |
| Texas | $28 | $78 | 313 | 10,872 | -1.9% |
| North Dakota | $28 | $70 | 24 | 261 | -2.0% |
| Arizona | $28 | $73 | 233 | 17,637 | -2.4% |
| Louisiana | $28 | $66 | 65 | 3,820 | -2.5% |
| North Carolina | $28 | $91 | 304 | 14,087 | -2.6% |
| Florida | $28 | $95 | 451 | 30,859 | -3.2% |
| Pennsylvania | $28 | $60 | 422 | 12,836 | -3.2% |
| Georgia | $28 | $73 | 219 | 6,112 | -3.2% |
| Delaware | $28 | $62 | 90 | 2,757 | -3.7% |
| Wisconsin | $28 | $95 | 98 | 1,549 | -4.1% |
| Utah | $28 | $69 | 45 | 1,637 | -4.3% |
| Arkansas | $27 | $59 | 71 | 1,428 | -4.6% |
| Oregon | $27 | $57 | 41 | 1,422 | -4.7% |
| Kentucky | $27 | $70 | 64 | 2,001 | -4.8% |
| Iowa | $27 | $71 | 37 | 253 | -4.9% |
| Alabama | $27 | $77 | 90 | 5,816 | -4.9% |
| Hawaii | $27 | $57 | 17 | 840 | -5.7% |
| Illinois | $27 | $100 | 229 | 7,298 | -5.7% |
| New Mexico | $27 | $81 | 20 | 595 | -6.0% |
| Colorado | $27 | $103 | 130 | 2,771 | -6.1% |
| Nebraska | $27 | $88 | 46 | 883 | -7.4% |
| Indiana | $27 | $68 | 80 | 2,722 | -7.6% |
| Kansas | $27 | $60 | 57 | 1,036 | -7.8% |
| Idaho | $26 | $79 | 34 | 679 | -8.1% |
| Ohio | $26 | $67 | 214 | 8,091 | -8.2% |
| Nevada | $26 | $74 | 52 | 2,003 | -8.6% |
| Tennessee | $26 | $64 | 115 | 2,011 | -8.6% |
| Mississippi | $26 | $94 | 32 | 1,210 | -9.5% |
| South Carolina | $26 | $71 | 210 | 7,698 | -10.1% |
| Maine | $26 | $56 | 24 | 721 | -10.3% |
| Missouri | $26 | $40 | 47 | 2,609 | -11.0% |
| Oklahoma | $25 | $83 | 63 | 3,726 | -14.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber