CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Citrus Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $29
  • Cash Discount Price: $426
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Citrus Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.00x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$426

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $426 (1466%)
Insurance Median: $29 (100%)
Cash: $426 (1466% of Medicare)
Ins. Median: $29 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Access 2 Healthcare Physicians Freedom Optimum Group Members $20 69%
Aetna $25 - $128 86%
Hernando-Pasco Hospice $25 - $29 86%
Ndms Definitive Care $25 - $29 86%
United $25 - $192 86%
United Behavioral Health $25 - $29 86%
United Va Ccn $25 - $29 86%
Wellmed $25 - $29 86%
Access 2 Healthcare Physicians Freedom Health $26 89%
Access 2 Healthcare Physicians Optimum $26 89%
Blue Cross Blue Shield $26 - $29 89%
Humana $26 - $119 89%
Sunshine State $26 - $30 89%
Ultimate Health Plan $26 - $29 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $74 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Secur $27 - $31 93%
Caresource $28 96%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Freedom Health Care $28 96%
Optimum Healthcare $28 96%
Rockport Healthcare Group $30 103%
Avmed $34 - $106 117%
Simply Healthcare $54 186%
Oscar $64 220%
Molina $81 - $115 279%
Evolutions Healthcare Systems $98 - $392 337%
Sunshine State Health Plan $109 375%
Beacon Health Options $213 733%
Plotkin Health $213 733%
Prime Health Sheriff $213 733%
Multiplan $320 - $362 1101%
Evernorth $341 1173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals