CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: UF Health Shands Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $41
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at UF Health Shands Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.41x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $95 (327%)
Insurance Median: $41 (141%)
Cash: $95 (327% of Medicare)
Ins. Median: $41 (141% 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
Beacon Health Strategies $24 83%
Humana $24 - $38 83%
Sunshine State Health Plan $24 83%
UnitedHealthcare $24 - $173 83%
Aetna $25 - $143 86%
Florida Community Care $25 86%
Amerihealth Caritas Florida $26 89%
Community Care Plan $26 89%
Molina $26 89%
Simply Healthcare $29 100%
Blue Cross Blue Shield $37 - $97 127%
Capital Health Plan $37 - $86 127%
North Central Hospice $37 127%
Wellcare $37 127%
Carelon Health $40 138%
Ahf Mco Of Fl $41 141%
Devoted Health Plan $41 141%
Freedom Health- Inc./Optimum Healthcare- Inc. $41 141%
Uaa $66 227%
Ambetter / Centene $69 237%
Northeast Fl Hospital $76 262%
Careplus $78 268%
Positive Healthcare Partners $78 268%
Florida Health Care Plan $86 296%
Wellpath $86 296%
Health First $121 416%
Prime Health Services $121 416%
Cigna $122 420%
Archbold Medical Center $130 447%
Genex $130 447%
Corvel Corp $147 506%
Geha $156 537%
Avmed $173 - $189 595%

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