CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Jfk Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $32
  • Cash Discount Price: $1,370
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Jfk Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,370. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.10x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$1,370

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $1,370 (4714%)
Insurance Median: $32 (110%)
Cash: $1,370 (4714% of Medicare)
Ins. Median: $32 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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 $25 - $28 86%
Blue Cross Blue Shield $26 - $30 89%
Careplus Sfl $26 - $30 89%
Devoted Health $26 - $30 89%
Humana $26 - $466 89%
Ndms Definitive Care $26 - $30 89%
United $26 - $616 89%
United Behavioral Health $26 - $30 89%
Veterans Evaluation Services $26 - $30 89%
Wellmed $26 - $30 89%
Aetna $27 - $411 93%
Oscar $27 - $219 93%
Prominence Healthfirst $27 - $31 93%
Sunshine State $27 - $32 93%
Align $28 - $32 96%
American Health Plan $28 - $31 96%
Cigna $28 - $288 96%
Florida Complete Care $28 - $32 96%
Centurion $29 - $32 100%
Doctors Healthcare Plan $29 - $32 100%
Gold Kidney $29 - $33 100%
Amerihealth Caritas $31 - $233 107%
Longevity Health Plan $31 - $35 107%
Corvel Corporation $33 114%
Careworks (Rockport) $34 117%
Prime Health $34 117%
Solis Health Plan $38 - $43 131%
Freedom Health $118 - $219 406%
Optimum $118 406%
Avmed $178 - $685 613%
Simply Healthcare Plans $178 613%
Simply Healthcare $185 637%
Molina $233 - $370 802%
Health Sun Health Plan $292 1005%
Aids Healthcare $301 - $1,644 1036%
Mmm Of Fl (Health Advantage Plan) $315 1084%
United Ppo $325 1118%
Sunshine State Health Plan $356 1225%
Blis $480 1652%
Healthy Palm Beaches $550 1893%
District Cares $685 2357%
Plotkin Health $685 2357%
Prime Health Sherriff $685 2357%
Medica Healthcare $808 2780%
Multiplan $1,028 - $1,164 3538%
Evernorth Bh $1,096 3772%

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