CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $51
Cash Discount Price: $270
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at HCA Florida Pasadena Hospital A Part of HCA Florid is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.56x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$270

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $270 (825%)

Insurance Median: $51 (156%)

Cash: $270 (825% of Medicare)

Ins. Median: $51 (156% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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	$11 - $13	34%
Blue Cross Blue Shield	$12 - $13	37%
Aetna	$17 - $83	52%
Access 2 Healthcare Physicians Freedom Health	$18 - $20	55%
Access 2 Healthcare Physicians Optimum	$18 - $20	55%
Avmed	$19 - $70	58%
Freedom Health Care	$19 - $22	58%
Optimum Healthcare	$19 - $22	58%
Humana	$30 - $78	92%
Rockport Healthcare Group	$31	95%
Simply Healthcare	$31 - $43	95%
Oscar	$36 - $42	110%
Corvel Corporation	$37	113%
Prime Health	$38	116%
United	$40 - $125	122%
Cigna	$44 - $50	134%
Molina	$46 - $75	141%
Evolutions Healthcare Systems	$56 - $256	171%
Sunshine State Health Plan	$62 - $71	189%
Plotkin Health	$122 - $139	373%
Prime Health Sheriff	$122 - $139	373%
Multiplan	$182 - $236	556%

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 $270.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

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 97112.
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.