Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Functional Capacity Modified
Low
$0
Average
$465
Median
$110
High
$19.8k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 413 hospitals; the 90th percentile is 13.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Avera McKennan Hospital Sioux Falls, SD | $81 | $81 | $0 | 0% | 406 | $81 – $81 |
| 2 | Lakes Regional Hospital Spirit Lake, IA | $32 | $32 | — | — | 198 | $32 – $32 |
| 3 | Avera Specialty Hospital Sioux Falls, SD | $69 | $69 | $12 | 17% | 104 | $57 – $81 |
| 4 | Avera Behavioral Health Hospital Sioux Falls, SD | $69 | $69 | $12 | 17% | 104 | $57 – $81 |
| 5 | Hartford Hospital HARTFORD, CT | $228 | $226 | $37 | 16% | 91–118 | $171 – $275 |
| 6 | Boston Children's Hospital Boston, MA | $154 | $154 | — | — | 57 | $154 – $154 |
| 7 | Windham Community Memorial Hospital Inc WILLIMANTIC, CT | $225 | $214 | $30 | 14% | 3–30 | $161 – $250 |
| 8 | Hospital for Special Surgery New York, NY | $218 | $218 | $36 | 16% | 3–30 | $153 – $275 |
| 9 | The William W Backus Hospital NORWICH, CT | $219 | $236 | $51 | 21% | 2–20 | $190 – $357 |
| 10 | Avera Marshall Hospital Marshall, MN | $288 | $288 | $78 | 27% | 2–20 | $210 – $366 |
Ask Claude or any MCP client for CPT 97750 pricing at a specific hospital — see how to connect.