CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $33
  • Cash Discount Price: $374
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida St Petersburg Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.14x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.
Cash / Self-Pay
$374

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $374 (1287%)
Insurance Median: $33 (114%)
Cash: $374 (1287% of Medicare)
Ins. Median: $33 (114% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $13 - $18 45%
Access 2 Healthcare Physicians Freedom Health $19 - $27 65%
Access 2 Healthcare Physicians Optimum $19 - $27 65%
Avmed $21 - $95 72%
Freedom Health Care $21 - $30 72%
Optimum Healthcare $21 - $30 72%
Aetna $25 - $113 86%
Devoted Health $25 - $29 86%
Ndms Definitive Care $25 - $29 86%
Sunshine State $25 - $29 86%
United $25 - $170 86%
United Va Ccn $25 - $29 86%
Wellmed $25 - $29 86%
Baycare Health Plans $26 - $30 89%
Blue Cross Blue Shield $26 - $29 89%
Humana $26 - $106 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 - $68 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Secur $27 - $31 93%
Caresource $28 96%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Careplus $29 - $33 100%
Longevity Health Plan $30 - $34 103%
Rockport Healthcare Group $30 103%
Corvel Corporation $32 110%
Prime Health $33 114%
Simply Healthcare $34 - $58 117%
Solis Health Plan $37 - $42 127%
Oscar $40 - $57 138%
Molina $51 - $102 175%
Evolutions Healthcare Systems $62 - $348 213%
Sunshine State Health Plan $68 - $96 234%
Plotkin Health $134 - $189 461%
Prime Health Sheriff $134 - $189 461%
Multiplan $201 - $321 692%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 38Th Ave N, Saint Petersburg, FL 33710
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals