CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: HCA Florida Blake Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97750
  • Insurance Median: $34
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at HCA Florida Blake Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$199

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
$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)
Cash / Self-Pay: $199 (590%)
Insurance Median: $34 (101%)
Cash: $199 (590% of Medicare)
Ins. Median: $34 (101% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $7 - $20 21%
Access 2 Healthcare Physicians Freedom Health $11 - $31 33%
Access 2 Healthcare Physicians Optimum $11 - $31 33%
Avmed $12 - $106 36%
Freedom Health Care $12 - $33 36%
Optimum Healthcare $12 - $33 36%
Truli $16 - $21 47%
Blue Cross Blue Shield $17 - $34 50%
Aetna $22 - $127 65%
Oscar $22 - $64 65%
Simply Healthcare $22 - $72 65%
United $25 - $191 74%
Cigna $26 - $74 77%
Molina $28 - $115 83%
Devoted Health $29 - $33 86%
Ndms Definitive Care $29 - $33 86%
United Va Ccn $29 - $33 86%
Wellmed $29 - $33 86%
Ultimate Health Plan $30 - $34 89%
Align Senior Care $31 - $35 92%
American Health Plan $31 - $35 92%
Florida Complete Care $31 - $35 92%
Humana $31 - $119 92%
Secur $31 - $36 92%
Sunshine State $31 - $35 92%
Wellcare $31 - $35 92%
Caresource $32 95%
Centurion $32 - $36 95%
Clear Spring Health $32 - $36 95%
Gold Kidney Of Florida $32 - $36 95%
Careplus $33 - $38 98%
Evolutions Healthcare Systems $34 - $391 101%
Sunshine State Health Plan $38 - $108 113%
Behealthy America $58 - $166 172%
Healthcare Sarasota $75 - $212 222%
Plotkin Health $75 - $212 222%
Prime Health Sheriff $75 - $212 222%
Multiplan $112 - $361 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals