CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Putnam Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $33
  • Cash Discount Price: $472
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Putnam Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $472. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.14x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$472

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $472 (1624%)
Insurance Median: $33 (114%)
Cash: $472 (1624% of Medicare)
Ins. Median: $33 (114% 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 $25 - $84 86%
Ndms Definitive Care $25 - $29 86%
United $25 - $221 86%
Wellmed $25 - $29 86%
Aetna $26 - $147 89%
Blue Cross Blue Shield $26 - $29 89%
Fl Health Care Plan $26 - $29 89%
Sunshine State $26 - $30 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $75 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Putnam County Sheriffs $28 - $31 96%
Ultimate Health Plan $29 - $33 100%
Longevity Health Plan $30 - $34 103%
Corvel Corporation $32 110%
Prime Health $33 114%
Careworks (Rockport Community) $34 117%
Avmed $54 - $246 186%
Oscar $54 - $59 186%
Simply Healthcare $57 - $62 196%
Molina Healthcare $86 - $157 296%
Evolutions $104 - $113 358%
Sunshine State Health Plan $115 - $125 396%
Plotkin Health $226 - $246 778%
Prime Health Sheriff $226 - $246 778%
Multiplan $353 - $418 1215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals