CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Blake Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $429
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Blake Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $429. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$429

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $429 (1548%)
Insurance Median: $29 (105%)
Cash: $429 (1548% of Medicare)
Ins. Median: $29 (105% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $20 72%
Aetna $24 - $129 87%
Devoted Health $24 - $27 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $193 87%
United Va Ccn $24 - $27 87%
Wellmed $24 - $27 87%
American Health Plan $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Humana $25 - $120 90%
Sunshine State $25 - $29 90%
Ultimate Health Plan $25 - $28 90%
Wellcare $25 - $29 90%
Align Senior Care $26 - $29 94%
Centurion $26 - $30 94%
Cigna $26 - $75 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Secur $26 - $30 94%
Careplus $27 - $31 97%
Caresource $27 97%
Corvel Corporation $29 105%
Rockport Healthcare Group $29 105%
Prime Health $30 108%
Access 2 Healthcare Physicians Freedom Health $31 112%
Access 2 Healthcare Physicians Optimum $31 112%
Freedom Health Care $33 119%
Optimum Healthcare $33 119%
Avmed $34 - $107 123%
Simply Healthcare $63 - $73 227%
Oscar $64 231%
Molina $82 - $116 296%
Evolutions Healthcare Systems $99 - $395 357%
Sunshine State Health Plan $109 393%
Behealthy America $167 602%
Healthcare Sarasota $214 772%
Plotkin Health $214 772%
Prime Health Sheriff $214 772%
Multiplan $322 - $365 1162%

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