CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $46
Cash Discount Price: $264
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at HCA Florida Pasadena Hospital A Part of HCA Florid is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.36x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$264

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $264 (783%)

Insurance Median: $46 (136%)

Cash: $264 (783% of Medicare)

Ins. Median: $46 (136% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$7 - $15	21%
Blue Cross Blue Shield	$8 - $33	24%
Access 2 Healthcare Physicians Freedom Health	$11 - $23	33%
Access 2 Healthcare Physicians Optimum	$11 - $23	33%
Aetna	$11 - $97	33%
Freedom Health Care	$12 - $25	36%
Optimum Healthcare	$12 - $25	36%
Avmed	$13 - $81	39%
Suncoast Neighborly Care	$13	39%
Truli	$13	39%
Simply Healthcare	$20 - $50	59%
Oscar	$24 - $48	71%
United	$26 - $145	77%
Cigna	$28 - $58	83%
Molina	$30 - $87	89%
Humana	$31 - $91	92%
Evolutions Healthcare Systems	$36 - $297	107%
Sunshine State Health Plan	$40 - $82	119%
Plotkin Health	$78 - $162	231%
Prime Health Sheriff	$78 - $162	231%
Multiplan	$118 - $275	350%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $264.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Pasadena Hospital A Part of HCA Florid is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97750.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.