CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $426
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Lawnwood Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$426

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $426 (1466%)
Insurance Median: $31 (107%)
Cash: $426 (1466% of Medicare)
Ins. Median: $31 (107% 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
Aetna $26 - $223 89%
Blue Cross Blue Shield $26 - $313 89%
Bright Health $26 - $127 89%
Careplus $26 - $30 89%
Cigna $26 - $271 89%
Devoted Health $26 - $30 89%
Humana $26 - $172 89%
Mutual Of Omaha $26 - $30 89%
Ndms Definitive Care $26 - $30 89%
Rocky Mountain Health $26 - $30 89%
Total Longterm Care $26 - $30 89%
Triwest Health Alliance $26 - $30 89%
Ultimate Health Plan $26 - $30 89%
United $26 - $193 89%
United Behavioral Health $26 - $30 89%
Veterans Evaluation Services $26 - $30 89%
Wellmed $26 - $30 89%
Innovage Pace $27 - $31 93%
Kaiser $27 - $150 93%
Prominence Healthfirst $27 - $31 93%
Sunshine State $27 - $32 93%
Wellcare $27 - $31 93%
American Health Plan $28 - $31 96%
Delaware Life Insurance $28 - $32 96%
Florida Complete Care $28 - $32 96%
Centurion $29 - $32 100%
Amerihealth Caritas $31 - $35 107%
Longevity Health Plan $31 - $35 107%
Corvel Corporation $33 114%
Careworks (Rockport) $34 117%
Prime Health $34 - $381 117%
Freedom Health $37 - $69 127%
Optimum $37 127%
Solis Health Plan $38 - $43 131%
Avmed $56 - $214 193%
Simply Healthcare Plans $56 193%
Vail Health $64 220%
Molina $82 - $116 282%
Oscar $82 282%
Health Sun Health Plan $91 313%
Simply Healthcare $101 348%
Sunshine State Health Plan $109 375%
Office Of Sheiff Highland Co $150 516%
United Ppo $189 650%
Plotkin Health $214 736%
Prime Health Sherriff $214 736%
Western Plains Community Health $275 946%
Multiplan $296 - $381 1019%
Northcare $296 1019%
Physician Health Partners $296 1019%
Pinnacol Workers Comp $317 1091%
Medical Development International $338 1163%
Evernorth Bh $343 1180%

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