CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $851
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Fort Walton-Destin Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $851. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$851

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: $851 (3070%)
Insurance Median: $29 (105%)
Cash: $851 (3070% 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
Humana $24 - $324 87%
Ndms Definitive Care $24 - $27 87%
Triwest Healthcare Alliance $24 - $27 87%
United $24 - $383 87%
United Behavioral Health $24 - $27 87%
Veterans Evaluation Services $24 - $27 87%
Wellmed $24 - $27 87%
Aetna $25 - $255 90%
American Health Plan $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Sunshine State $25 - $29 90%
Wellcare $25 - $29 90%
Align Senior Care $26 - $29 94%
Centurion $26 - $30 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Healthspring Of Florida $26 - $29 94%
Ultimate Health Plan $28 - $31 101%
Corvel Corporation $29 105%
Longevity Health Plan $29 - $33 105%
Prime Health $30 108%
Careworks (Rockport Community) $31 112%
Oscar $111 400%
Simply Healthcare $142 512%
Cigna $148 - $353 534%
Molina Healthcare $162 - $272 584%
Avmed $204 - $426 736%
Sunshine State Health Plan $217 783%
Plotkin Health $426 1537%
Prime Health Sheriff $426 1537%
Evolutions Healthcare $553 - $766 1995%
Naphcare $553 1995%
Multiplan $664 - $724 2395%
Evernorth $681 2457%
Ppo Next $724 2612%
Novanet $766 2763%
Beacon Health Options $851 3070%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals