CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Kendall Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $34
  • Cash Discount Price: $1,299
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Kendall Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,299. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.17x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$1,299

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $1,299 (4470%)
Insurance Median: $34 (117%)
Cash: $1,299 (4470% of Medicare)
Ins. Median: $34 (117% 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
Humana $26 - $442 89%
Aetna $27 - $390 93%
Blue Cross Blue Shield $27 - $31 93%
Careplus Sfl $27 - $30 93%
Cigna $27 - $273 93%
Devoted Health $27 - $30 93%
Leon Health $27 - $30 93%
Ndms Definitive Care $27 - $30 93%
United $27 - $585 93%
United Behavioral Health $27 - $30 93%
Veterans Evaluation Services $27 - $30 93%
Wellmed $27 - $30 93%
Align $28 - $32 96%
American Health Plan $28 - $32 96%
Florida Complete Care $28 - $32 96%
Oscar $28 - $208 96%
Prominence Healthfirst $28 - $32 96%
Sunshine State $28 - $33 96%
Avmed $29 - $650 100%
Centurion $29 - $33 100%
Doctors Healthcare Plan $29 - $33 100%
Gold Kidney $30 - $34 103%
Amerihealth Caritas $32 - $221 110%
Longevity Health Plan $32 - $36 110%
Corvel Corporation $34 117%
Careworks (Rockport) $35 120%
Prime Health $35 120%
Solis Health Plan $38 - $44 131%
Naphcare $45 - $51 155%
Seven Corners $56 - $72 193%
Wellpath $56 - $72 193%
Freedom Health $112 - $208 385%
Optimum $112 385%
Simply Healthcare Plans $169 582%
Simply Healthcare $175 602%
Molina $247 - $351 850%
Health Sun Health Plan $277 953%
Aids Healthcare $286 - $1,559 984%
Mmm Of Fl (Health Advantage Plan) $299 1029%
United Ppo $308 1060%
Sunshine State Health Plan $338 1163%
Plotkin Health $650 2237%
Prime Health Sherriff $650 2237%
Medica Healthcare $753 2591%
Multiplan $974 - $1,104 3352%
Evernorth Bh $1,039 3575%

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