CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $385
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Lawnwood Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$385

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: $385 (1389%)
Insurance Median: $29 (105%)
Cash: $385 (1389% 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
Aetna $25 - $223 90%
Blue Cross Blue Shield $25 - $313 90%
Bright Health $25 - $127 90%
Careplus $25 - $28 90%
Cigna $25 - $271 90%
Devoted Health $25 - $29 90%
Humana $25 - $139 90%
Mutual Of Omaha $25 - $29 90%
Ndms Definitive Care $25 - $28 90%
Rocky Mountain Health $25 - $29 90%
Total Longterm Care $25 - $29 90%
Triwest Health Alliance $25 - $29 90%
Ultimate Health Plan $25 - $29 90%
United $25 - $190 90%
United Behavioral Health $25 - $28 90%
Veterans Evaluation Services $25 - $28 90%
Wellmed $25 - $28 90%
American Health Plan $26 - $30 94%
Delaware Life Insurance $26 - $30 94%
Innovage Pace $26 - $29 94%
Kaiser $26 - $150 94%
Prominence Healthfirst $26 - $30 94%
Sunshine State $26 - $31 94%
Wellcare $26 - $30 94%
Centurion $27 - $31 97%
Florida Complete Care $27 - $30 97%
Amerihealth Caritas $30 - $34 108%
Freedom Health $30 - $56 108%
Longevity Health Plan $30 - $34 108%
Optimum $30 108%
Corvel Corporation $31 112%
Careworks (Rockport) $32 115%
Prime Health $32 - $381 115%
Solis Health Plan $36 - $41 130%
Avmed $45 - $174 162%
Simply Healthcare Plans $45 162%
Vail Health $64 231%
Molina $66 - $94 238%
Oscar $66 238%
Health Sun Health Plan $74 267%
Simply Healthcare $82 296%
Sunshine State Health Plan $89 321%
Office Of Sheiff Highland Co $122 440%
United Ppo $153 552%
Plotkin Health $174 628%
Prime Health Sherriff $174 628%
Multiplan $261 - $381 942%
Western Plains Community Health $275 992%
Evernorth Bh $278 1003%
Northcare $296 1068%
Physician Health Partners $296 1068%
Pinnacol Workers Comp $317 1144%
Medical Development International $338 1219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals