CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: North Shore Medical Center

Billing Code: 97140 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.1× the $28 Medicare rate · typically $28–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Above the fair price
about $20 over the fair price · 1.8× Medicare
Medicare pays $28 Fair price $30 This hospital $50 Cash price $580 Hospital's list price $580

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $50

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (manual therapy) is about $30 (about 1.1× the $28 Medicare rate). North Shore Medical Center charges insurers about $50, or about $580 in cash — above the fair price. Located in Miami, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $30. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $28 - $633 101%
Aetnamajor $16 - $456 58%
Cignamajor $29 - $317 105%
Humanamajor $27 - $75 97%
Ambetter (Centene) $52 188%
AmeriHealth $60 216%
AvMed $49 - $171 177%
Bright Health $34 123%
Devoted Health $28 101%
Molina $53 191%
Oscar Health $114 411%
+ 20 smaller / regional plans $27 - $633
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals