CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Jfk Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $31
  • Cash Discount Price: $923
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Jfk Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $923. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.12x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$923

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $923 (3330%)
Insurance Median: $31 (112%)
Cash: $923 (3330% of Medicare)
Ins. Median: $31 (112% 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
Palm Beach Pace $24 - $27 87%
Blue Cross Blue Shield $25 - $29 90%
Careplus Sfl $25 - $28 90%
Devoted Health $25 - $28 90%
Humana $25 - $314 90%
Ndms Definitive Care $25 - $28 90%
United $25 - $415 90%
United Behavioral Health $25 - $28 90%
Veterans Evaluation Services $25 - $28 90%
Wellmed $25 - $28 90%
Aetna $26 - $277 94%
American Health Plan $26 - $30 94%
Oscar $26 - $148 94%
Prominence Healthfirst $26 - $30 94%
Sunshine State $26 - $31 94%
Align $27 - $30 97%
Centurion $27 - $31 97%
Cigna $27 - $194 97%
Doctors Healthcare Plan $27 - $31 97%
Florida Complete Care $27 - $30 97%
Gold Kidney $28 - $32 101%
Amerihealth Caritas $30 - $157 108%
Longevity Health Plan $30 - $34 108%
Corvel Corporation $31 112%
Careworks (Rockport) $32 115%
Prime Health $32 115%
Solis Health Plan $36 - $41 130%
Freedom Health $79 - $148 285%
Optimum $79 285%
Avmed $120 - $462 433%
Simply Healthcare Plans $120 433%
Simply Healthcare $125 451%
Molina $157 - $249 566%
Health Sun Health Plan $197 711%
Aids Healthcare $203 - $1,108 732%
Mmm Of Fl (Health Advantage Plan) $212 765%
United Ppo $219 790%
Sunshine State Health Plan $240 866%
Blis $323 1165%
District Cares $462 1667%
Plotkin Health $462 1667%
Prime Health Sherriff $462 1667%
Medica Healthcare $545 1966%
Healthy Palm Beaches $550 1984%
Multiplan $692 - $785 2496%
Evernorth Bh $738 2662%

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