CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: UF Health Shands Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $48
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at UF Health Shands Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $112 (332%)
Insurance Median: $48 (142%)
Cash: $112 (332% of Medicare)
Ins. Median: $48 (142% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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
Beacon Health Strategies $24 71%
Humana $24 - $44 71%
Sunshine State Health Plan $24 71%
UnitedHealthcare $24 - $203 71%
Aetna $25 - $167 74%
Florida Community Care $25 74%
Amerihealth Caritas Florida $26 77%
Community Care Plan $26 77%
Molina $26 77%
Simply Healthcare $29 86%
Blue Cross Blue Shield $43 - $114 127%
Capital Health Plan $43 - $102 127%
North Central Hospice $43 127%
Wellcare $43 127%
Carelon Health $46 136%
Ahf Mco Of Fl $48 142%
Devoted Health Plan $48 142%
Freedom Health- Inc./Optimum Healthcare- Inc. $48 142%
Uaa $77 228%
Ambetter / Centene $81 240%
Northeast Fl Hospital $89 264%
Careplus $91 270%
Positive Healthcare Partners $91 270%
Florida Health Care Plan $102 302%
Wellpath $102 302%
Cigna $122 362%
Health First $142 421%
Prime Health Services $142 421%
Archbold Medical Center $152 451%
Genex $152 451%
Avmed $173 - $189 513%
Corvel Corp $173 513%
Geha $183 543%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals