CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Aventura Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $32
  • Cash Discount Price: $566
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Aventura Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.10x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$566

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $566 (1948%)
Insurance Median: $32 (110%)
Cash: $566 (1948% of Medicare)
Ins. Median: $32 (110% 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
Humana $26 - $192 89%
Aetna $27 - $170 93%
Blue Cross Blue Shield $27 - $31 93%
Careplus Sfl $27 - $30 93%
Cigna $27 - $119 93%
Devoted Health $27 - $30 93%
Leon Health $27 - $30 93%
Ndms Definitive Care $27 - $30 93%
United $27 - $255 93%
United Behavioral Health $27 - $30 93%
Veterans Evaluation Services $27 - $30 93%
Wellmed $27 - $30 93%
Align $28 - $32 96%
American Health Plan $28 - $32 96%
Florida Complete Care $28 - $32 96%
Oscar $28 - $91 96%
Prominence Healthfirst $28 - $32 96%
Sunshine State $28 - $33 96%
Avmed $29 - $283 100%
Centurion $29 - $33 100%
Doctors Healthcare Plan $29 - $33 100%
Gold Kidney $30 - $34 103%
Amerihealth Caritas $32 - $96 110%
Longevity Health Plan $32 - $36 110%
Corvel Corporation $34 117%
Careworks (Rockport) $35 120%
Prime Health $35 120%
Solis Health Plan $38 - $44 131%
Freedom Health $49 - $91 169%
Optimum $49 169%
Simply Healthcare Plans $74 255%
Simply Healthcare $76 262%
Molina $96 - $153 330%
Health Sun Health Plan $121 416%
Aids Healthcare $125 - $679 430%
Mmm Of Fl (Health Advantage Plan) $130 447%
United Ppo $134 461%
Sunshine State Health Plan $147 506%
Plotkin Health $283 974%
Prime Health Sherriff $283 974%
Medica Healthcare $328 1129%
Multiplan $424 - $481 1459%
Evernorth Bh $453 1559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals