CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: HCA Florida Brandon Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $37
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at HCA Florida Brandon Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $289 (883%)
Insurance Median: $37 (113%)
Cash: $289 (883% of Medicare)
Ins. Median: $37 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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 $13 - $17 40%
Access 2 Healthcare Physicians Freedom Health $21 - $26 64%
Access 2 Healthcare Physicians Optimum $21 - $26 64%
Freedom Health Care $22 - $28 67%
Optimum Healthcare $22 - $28 67%
Avmed $23 - $89 70%
Aetna $28 - $107 86%
Devoted Health $28 - $32 86%
Lifepath Hospice $28 - $32 86%
Ndms Definitive Care $28 - $32 86%
United $28 - $160 86%
United Behavioral Health $28 - $32 86%
United Va Ccn $28 - $32 86%
Wellmed $28 - $32 86%
Blue Cross Blue Shield $29 - $33 89%
Ultimate Health Plan $29 - $33 89%
Align Senior Care $30 - $34 92%
American Health Plan $30 - $34 92%
Baycare Health Plans $30 - $34 92%
Cigna $30 - $64 92%
Florida Complete Care $30 - $34 92%
Humana $30 - $100 92%
Sunshine State $30 - $34 92%
Wellcare $30 - $34 92%
Caresource $31 95%
Centurion $31 - $35 95%
Clear Spring Health $31 - $35 95%
Gold Kidney Of Florida $31 - $35 95%
Rockport Healthcare Group $31 95%
Secur $31 - $35 95%
Careplus $32 - $37 98%
Longevity Health Plan $34 - $39 104%
Simply Healthcare $36 - $55 110%
Corvel Corporation $37 113%
Prime Health $38 116%
Solis Health Plan $41 - $47 125%
Oscar $43 - $53 131%
Molina $54 - $96 165%
Evolutions Healthcare Systems $66 - $327 202%
Sunshine State Health Plan $73 - $91 223%
Beacon Health Options $143 - $178 437%
Plotkin Health $143 - $178 437%
Prime Health Sheriff $143 - $178 437%
Multiplan $215 - $302 657%
Evernorth $229 - $284 700%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals