CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Osceola Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $1,142
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Osceola Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $1,142 (4120%)
Insurance Median: $29 (105%)
Cash: $1,142 (4120% of Medicare)
Ins. Median: $29 (105% 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
Devoted Health $24 - $27 87%
Humana $24 - $320 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $514 87%
United Behavioral Health $24 - $27 87%
Wellmed $24 - $27 87%
Aetna $25 - $343 90%
American Health Plan $25 - $29 90%
Avmed $25 - $571 90%
Blue Cross Blue Shield $25 - $28 90%
Fl Health Care Plan $25 - $28 90%
Sunshine State $25 - $29 90%
Wellcare $25 - $29 90%
Align Senior Care $26 - $29 94%
Centurion $26 - $30 94%
Cigna $26 - $199 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Careplus $27 - $31 97%
Ultimate Health Plan $28 - $31 101%
Corvel Corporation $29 105%
Longevity Health Plan $29 - $33 105%
Prime Health $30 108%
Careworks (Rockport Community) $31 112%
Solis Health Plan $35 - $40 126%
Freedom Health $82 296%
Optimum $82 296%
Oscar $183 660%
Simply Healthcare $191 689%
Molina Healthcare $217 - $308 783%
Evolutions $263 949%
Sunshine State Health Plan $291 1050%
Plotkin Health $571 2060%
Prime Health Sheriff $571 2060%
Multiplan $857 - $971 3092%
Evernorth $914 3297%
Ppo Next $971 3503%
Novanet $1,028 3709%
Beacon Health Options $1,142 4120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals