CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Northwest Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $31
  • Cash Discount Price: $964
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Northwest Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $964. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.12x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.
Cash / Self-Pay
$964

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: $964 (3478%)
Insurance Median: $31 (112%)
Cash: $964 (3478% 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
Blue Cross Blue Shield $25 - $29 90%
Careplus Sfl $25 - $28 90%
Devoted Health $25 - $28 90%
Humana $25 - $328 90%
Ndms Definitive Care $25 - $28 90%
United $25 - $434 90%
Veterans Evaluation Services $25 - $28 90%
Wellmed $25 - $28 90%
Aetna $26 - $289 94%
American Health Plan $26 - $30 94%
Avmed $26 - $482 94%
Oscar $26 - $154 94%
Prominence Healthfirst $26 - $30 94%
Sunshine State $26 - $31 94%
Align $27 - $30 97%
Centurion $27 - $31 97%
Cigna $27 - $202 97%
Doctors Healthcare Plan $27 - $31 97%
Florida Complete Care $27 - $30 97%
Gold Kidney $28 - $32 101%
Amerihealth Caritas $30 - $164 108%
Longevity Health Plan $30 - $34 108%
Corvel Corporation $31 112%
Careworks (Rockport) $32 115%
Prime Health $32 115%
Solis Health Plan $36 - $41 130%
Freedom Health $83 - $154 299%
Optimum $83 299%
Simply Healthcare Plans $125 451%
Simply Healthcare $130 469%
Molina $183 - $260 660%
Health Sun Health Plan $205 740%
Mmm Of Fl (Health Advantage Plan) $222 801%
United Ppo $228 823%
Sunshine State Health Plan $254 916%
Blis $337 1216%
Plotkin Health $482 1739%
Prime Health Sherriff $482 1739%
Medica Healthcare $559 2017%
Multiplan $723 - $819 2608%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 N State Rd 7, Margate, FL 33063
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals