CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: HCA Florida Jfk Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $37
  • Cash Discount Price: $622
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at HCA Florida Jfk Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $622. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$622

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $622 (1900%)
Insurance Median: $37 (113%)
Cash: $622 (1900% of Medicare)
Ins. Median: $37 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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 $28 - $32 86%
Careplus Sfl $29 - $33 89%
Devoted Health $29 - $33 89%
Humana $29 - $211 89%
Ndms Definitive Care $29 - $33 89%
United $29 - $280 89%
United Behavioral Health $29 - $33 89%
Veterans Evaluation Services $29 - $33 89%
Wellmed $29 - $33 89%
Aetna $30 - $187 92%
Blue Cross Blue Shield $30 - $34 92%
Align $31 - $36 95%
American Health Plan $31 - $35 95%
Cigna $31 - $131 95%
Florida Complete Care $31 - $36 95%
Oscar $31 - $100 95%
Prominence Healthfirst $31 - $35 95%
Sunshine State $31 - $37 95%
Centurion $32 - $37 98%
Doctors Healthcare Plan $32 - $37 98%
Gold Kidney $33 - $37 101%
Amerihealth Caritas $35 - $106 107%
Longevity Health Plan $35 - $40 107%
Corvel Corporation $38 116%
Careworks (Rockport) $39 119%
Prime Health $39 119%
Solis Health Plan $42 - $48 128%
Freedom Health $53 - $100 162%
Optimum $53 162%
Avmed $81 - $311 247%
Simply Healthcare Plans $81 247%
Simply Healthcare $84 257%
Molina $106 - $168 324%
Health Sun Health Plan $132 403%
Aids Healthcare $137 - $746 419%
Mmm Of Fl (Health Advantage Plan) $143 437%
United Ppo $147 449%
Sunshine State Health Plan $162 495%
Blis $218 666%
District Cares $311 950%
Plotkin Health $311 950%
Prime Health Sherriff $311 950%
Medica Healthcare $367 1121%
Multiplan $466 - $529 1424%
Evernorth Bh $498 1522%
Healthy Palm Beaches $550 1680%

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