CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Fawcett Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $57
  • Cash Discount Price: $730
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Fawcett Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.96x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$730

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $730 (2512%)
Insurance Median: $57 (196%)
Cash: $730 (2512% of Medicare)
Ins. Median: $57 (196% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $7 - $52 24%
Access 2 Healthcare Physicians Freedom Health $11 - $80 38%
Access 2 Healthcare Physicians Optimum $11 - $80 38%
Freedom Health Care $12 - $86 41%
Optimum Healthcare $12 - $86 41%
Avmed $13 - $277 45%
Simply Healthcare $23 - $171 79%
Oscar $24 - $166 83%
Aetna $25 - $333 86%
Ndms Definitive Care $25 - $29 86%
United $25 - $499 86%
United Va Ccn $25 - $29 86%
Wellmed $25 - $29 86%
Blue Cross Blue Shield $26 - $29 89%
Humana $26 - $310 89%
Sunshine State $26 - $30 89%
Ultimate Health Plan $26 - $29 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $193 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Secur $27 - $31 93%
Caresource $28 96%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Molina $30 - $299 103%
Rockport Healthcare Group $30 103%
Corvel Corporation $32 110%
Prime Health $33 114%
Evolutions Healthcare Systems $36 - $1,020 124%
Sunshine State Health Plan $40 - $283 138%
Behealthy America $61 - $432 210%
Healthcare Sarasota $79 - $554 272%
Plotkin Health $79 - $554 272%
Prime Health Sheriff $79 - $554 272%
Multiplan $118 - $942 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals