CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $47
  • Cash Discount Price: $598
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Sarasota Doctors Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $598. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.62x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
$598

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $598 (2058%)
Insurance Median: $47 (162%)
Cash: $598 (2058% of Medicare)
Ins. Median: $47 (162% 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
Aetna $25 - $181 86%
Ndms Definitive Care $25 - $29 86%
United $25 - $272 86%
United Behavioral Health $25 - $29 86%
United Va Ccn $25 - $29 86%
Wellmed $25 - $29 86%
Blue Cross Blue Shield $26 - $29 89%
Humana $26 - $169 89%
Sunshine State $26 - $30 89%
Ultimate Health Plan $26 - $29 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $105 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Secur $27 - $31 93%
Access 2 Healthcare Physicians Freedom Optimum Group Members $28 96%
Caresource $28 96%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Rockport Healthcare Group $30 103%
Corvel Corporation $32 110%
Prime Health $33 114%
Access 2 Healthcare Physicians Freedom Health $43 - $44 148%
Access 2 Healthcare Physicians Optimum $43 - $44 148%
Freedom Health Care $46 - $47 158%
Optimum Healthcare $46 - $47 158%
Avmed $47 - $151 162%
Simply Healthcare $87 - $93 299%
Oscar $89 - $91 306%
Molina $112 - $163 385%
Evolutions Healthcare Systems $136 - $556 468%
Sunshine State Health Plan $151 - $154 520%
Behealthy America $230 - $236 791%
Beacon Health Options $295 - $302 1015%
Healthcare Sarasota $295 - $302 1015%
Plotkin Health $295 - $302 1015%
Prime Health Sheriff $295 - $302 1015%
Multiplan $443 - $514 1524%
Evernorth $473 - $483 1628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals