CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: HCA Florida South Tampa Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $37
  • Cash Discount Price: $506
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at HCA Florida South Tampa Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.
Cash / Self-Pay
$506

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $506 (1546%)
Insurance Median: $37 (113%)
Cash: $506 (1546% of Medicare)
Ins. Median: $37 (113% 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.

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 $21 - $26 64%
Aetna $28 - $168 86%
Devoted Health $28 - $32 86%
Ndms Definitive Care $28 - $32 86%
United $28 - $252 86%
United Behavioral Health $28 - $32 86%
United Va Ccn $28 - $32 86%
Wellcare $28 - $34 86%
Wellmed $28 - $32 86%
Blue Cross Blue Shield $29 - $33 89%
Ultimate Health Plan $29 - $33 89%
Align Senior Care $30 - $34 92%
American Health Plan $30 - $34 92%
Baycare Health Plans $30 - $34 92%
Cigna $30 - $101 92%
Florida Complete Care $30 - $34 92%
Humana $30 - $157 92%
Sunshine State $30 - $34 92%
Caresource $31 95%
Centurion $31 - $35 95%
Clear Spring Health $31 - $35 95%
Gold Kidney Of Florida $31 - $35 95%
Rockport Healthcare Group $31 95%
Secur $31 - $35 95%
Access 2 Healthcare Physicians Freedom Health $32 - $40 98%
Access 2 Healthcare Physicians Optimum $32 - $40 98%
Careplus $32 - $37 98%
Longevity Health Plan $34 - $39 104%
Freedom Health Care $35 - $44 107%
Optimum Healthcare $35 - $44 107%
Avmed $36 - $140 110%
Corvel Corporation $37 113%
Prime Health $38 116%
Solis Health Plan $41 - $47 125%
Simply Healthcare $57 - $86 174%
Oscar $68 - $84 208%
Molina $86 - $151 263%
Evolutions Healthcare Systems $104 - $516 318%
Sunshine State Health Plan $115 - $143 351%
Beacon Health Options $226 - $280 690%
Plotkin Health $226 - $280 690%
Prime Health Sheriff $226 - $280 690%
Multiplan $339 - $477 1036%
Evernorth $361 - $448 1103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 W Swann Ave, Tampa, FL 33609
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals