CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: HCA Florida Kendall Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $41
  • Cash Discount Price: $1,598
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at HCA Florida Kendall Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,598. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.22x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$1,598

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $1,598 (4738%)
Insurance Median: $41 (122%)
Cash: $1,598 (4738% of Medicare)
Ins. Median: $41 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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
Humana $30 - $543 89%
Blue Cross Blue Shield $31 - $36 92%
Careplus Sfl $31 - $35 92%
Cigna $31 - $336 92%
Devoted Health $31 - $35 92%
Leon Health $31 - $35 92%
Ndms Definitive Care $31 - $35 92%
United $31 - $719 92%
United Behavioral Health $31 - $35 92%
Veterans Evaluation Services $31 - $35 92%
Wellmed $31 - $35 92%
Aetna $32 - $479 95%
Oscar $32 - $256 95%
Prominence Healthfirst $32 - $37 95%
Sunshine State $32 - $38 95%
Align $33 - $37 98%
American Health Plan $33 - $37 98%
Avmed $33 - $799 98%
Florida Complete Care $33 - $37 98%
Centurion $34 - $38 101%
Doctors Healthcare Plan $34 - $38 101%
Gold Kidney $34 - $39 101%
Amerihealth Caritas $37 - $272 110%
Longevity Health Plan $37 - $42 110%
Solis Health Plan $45 - $51 133%
Naphcare $52 - $60 154%
Seven Corners $65 - $84 193%
Wellpath $65 - $84 193%
Freedom Health $137 - $256 406%
Optimum $137 406%
Simply Healthcare Plans $208 617%
Simply Healthcare $216 640%
Molina $304 - $431 901%
Health Sun Health Plan $340 1008%
Aids Healthcare $352 - $1,918 1044%
Mmm Of Fl (Health Advantage Plan) $368 1091%
United Ppo $379 1124%
Sunshine State Health Plan $415 1230%
Plotkin Health $799 2369%
Prime Health Sherriff $799 2369%
Medica Healthcare $927 2748%
Multiplan $1,198 - $1,358 3552%
Evernorth Bh $1,278 3789%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals