CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: HCA Florida Jfk Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $38
  • Cash Discount Price: $984
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at HCA Florida Jfk Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $984. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$984

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $984 (2917%)
Insurance Median: $38 (113%)
Cash: $984 (2917% of Medicare)
Ins. Median: $38 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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
Palm Beach Pace $29 - $33 86%
Careplus Sfl $30 - $34 89%
Devoted Health $30 - $34 89%
Humana $30 - $335 89%
Ndms Definitive Care $30 - $34 89%
United $30 - $443 89%
United Behavioral Health $30 - $34 89%
Veterans Evaluation Services $30 - $34 89%
Wellmed $30 - $34 89%
Aetna $31 - $295 92%
Blue Cross Blue Shield $31 - $35 92%
Align $32 - $37 95%
American Health Plan $32 - $36 95%
Cigna $32 - $207 95%
Florida Complete Care $32 - $37 95%
Oscar $32 - $157 95%
Prominence Healthfirst $32 - $36 95%
Sunshine State $32 - $38 95%
Centurion $33 - $38 98%
Doctors Healthcare Plan $33 - $38 98%
Gold Kidney $34 - $38 101%
Amerihealth Caritas $36 - $167 107%
Longevity Health Plan $36 - $41 107%
Solis Health Plan $44 - $50 130%
Freedom Health $85 - $157 252%
Optimum $85 252%
Avmed $128 - $492 379%
Simply Healthcare Plans $128 379%
Simply Healthcare $133 394%
Molina $167 - $266 495%
Health Sun Health Plan $210 623%
Aids Healthcare $216 - $1,181 640%
Mmm Of Fl (Health Advantage Plan) $226 670%
United Ppo $233 691%
Sunshine State Health Plan $256 759%
Blis $344 1020%
District Cares $492 1459%
Plotkin Health $492 1459%
Prime Health Sherriff $492 1459%
Healthy Palm Beaches $550 1631%
Medica Healthcare $581 1723%
Multiplan $738 - $836 2188%
Evernorth Bh $787 2333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals