CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Mercy Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $31
  • Cash Discount Price: $748
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Mercy Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $748. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.12x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.
Cash / Self-Pay
$748

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $748 (2698%)
Insurance Median: $31 (112%)
Cash: $748 (2698% of Medicare)
Ins. Median: $31 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Careplus Sfl $25 - $29 90%
Cigna $25 - $157 90%
Devoted Health $25 - $29 90%
Humana $25 - $254 90%
Kindred Hospice $25 - $29 90%
Leon Health $25 - $29 90%
Ndms Definitive Care $25 - $29 90%
United $25 - $337 90%
United Behavioral Health $25 - $29 90%
Veterans Evaluation Services $25 - $29 90%
Wellmed $25 - $29 90%
Aetna $26 - $224 94%
Blue Cross Blue Shield $26 - $29 94%
Align $27 - $31 97%
American Health Plan $27 - $30 97%
Avmed $27 - $374 97%
Florida Complete Care $27 - $31 97%
Oscar $27 - $120 97%
Prominence Healthfirst $27 - $30 97%
Sunshine State $27 - $32 97%
Centurion $28 - $32 101%
Doctors Healthcare Plan $28 - $32 101%
Gold Kidney $28 - $32 101%
Amerihealth Caritas $30 - $127 108%
Longevity Health Plan $30 - $35 108%
Corvel Corporation $31 112%
Careworks (Rockport) $32 115%
Prime Health $32 115%
Solis Health Plan $37 - $42 133%
Freedom Health $64 - $120 231%
Optimum $64 231%
Simply Healthcare Plans $97 350%
Molina $142 - $202 512%
Health Sun Health Plan $159 574%
Aids Healthcare $165 - $898 595%
Mmm Of Fl (Health Advantage Plan) $172 620%
United Ppo $177 639%
Sunshine State Health Plan $194 700%
Plotkin Health $374 1349%
Prime Health Sherriff $374 1349%
Medica Healthcare $441 1591%
Multiplan $561 - $636 2024%
Evernorth Bh $598 2157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Nw 42Nd Ave, Plantation, FL 33317
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals