CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Sarasota Memorial Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $43
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Sarasota Memorial Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.55x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $84 (303%)
Insurance Median: $43 (155%)
Cash: $84 (303% of Medicare)
Ins. Median: $43 (155% 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
Simply Healthcare $22 - $23 79%
Sunshine State $23 83%
Amerihealth Caritas $24 87%
Community Care Plan $24 87%
Florida Community Care $24 - $29 87%
Molina $24 87%
UnitedHealthcare $25 - $165 90%
Blue Cross Blue Shield $26 - $45 94%
Aetna $27 - $176 97%
Simply Freedom Optimum $28 101%
Wellcare $28 101%
Wellcare Oncology $28 101%
Simply Freedom Optimum Oncology $29 105%
Florida Community Care Oncology $33 119%
Oscar Oncology $44 159%
Ambetter / Centene $70 - $72 253%
Avmed $145 - $161 523%
Usa Managed Care $158 - $176 570%
First Health $164 - $183 592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals