CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: South Florida Baptist Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $67
Cash Discount Price: $77
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at South Florida Baptist Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 2.05x the Medicare baseline. Located in 301 N Alexander St, Plant City, FL.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $77 (235%)

Insurance Median: $67 (205%)

Cash: $77 (235% of Medicare)

Ins. Median: $67 (205% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). 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
Molina	$15 - $102	46%
Simply Healthcare	$15 - $31	46%
Freedom	$17 - $34	52%
Optimum	$17 - $34	52%
Careplus	$20 - $39	61%
Clear Health Alliance	$22	67%
Freedom Health	$23	70%
Humana	$23 - $30	70%
Molina Healthcare	$23	70%
Sunshine Health	$23	70%
UnitedHealthcare	$23 - $155	70%
Aetna	$24 - $140	73%
Baycareplus	$24	73%
Blue Cross Blue Shield	$24 - $91	73%
Florida Community Care	$24	73%
Solis Health	$26	79%
Ultimate Health Plan	$26 - $52	79%
Avmed	$27 - $84	82%
Cigna	$28 - $150	86%
Wellcare	$34	104%
Evolutions	$43 - $160	131%
Ambetter / Centene	$54 - $172	165%
First Health	$73 - $146	223%
Multiplan	$77 - $155	235%

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 $77.
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 South Florida Baptist Hospital 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.