CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $61
Cash Discount Price: $340
vs. Medicare Baseline: 2.10x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Pasadena Hospital A Part of HCA Florid is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 2.10x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$340

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $340 (1170%)

Insurance Median: $61 (210%)

Cash: $340 (1170% of Medicare)

Ins. Median: $61 (210% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 210% of the Medicare baseline (a markup of 110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $16	38%
Blue Cross Blue Shield	$12 - $16	41%
Aetna	$17 - $103	58%
Access 2 Healthcare Physicians Freedom Health	$18 - $25	62%
Access 2 Healthcare Physicians Optimum	$18 - $25	62%
Avmed	$19 - $86	65%
Freedom Health Care	$19 - $27	65%
Optimum Healthcare	$19 - $27	65%
Humana	$27 - $96	93%
Rockport Healthcare Group	$30	103%
Simply Healthcare	$31 - $53	107%
Corvel Corporation	$32	110%
Prime Health	$33	114%
Oscar	$36 - $52	124%
United	$40 - $155	138%
Cigna	$44 - $62	151%
Molina	$46 - $93	158%
Evolutions Healthcare Systems	$56 - $316	193%
Sunshine State Health Plan	$62 - $88	213%
Plotkin Health	$122 - $172	420%
Prime Health Sheriff	$122 - $172	420%
Multiplan	$182 - $292	626%

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 $340.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

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 97110.
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.