CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Highlands Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Highlands Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$274

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
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $274 (988%)
Insurance Median: $29 (105%)
Cash: $274 (988% of Medicare)
Ins. Median: $29 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Devoted Health $24 - $27 87%
Freedom Health $24 87%
Humana $24 - $110 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $123 87%
Wellmed $24 - $27 87%
Aetna $25 - $82 90%
American Health Plan $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Prominence Healthfirst $25 - $29 90%
Sunshine State $25 - $30 90%
Centurion $26 - $30 94%
Cigna $26 - $96 94%
Florida Complete Care $26 - $29 94%
Amerihealth Caritas $29 - $33 105%
Longevity Health Plan $29 - $33 105%
Prime Health $30 108%
Avmed $36 - $137 130%
Molina $52 188%
Oscar $52 188%
Simply Healthcare $64 231%
Office Of Sheiff Highland Co $96 346%
United Ppo $121 437%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals