CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Raulerson Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $680
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Raulerson Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $680. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$680

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: $680 (2453%)
Insurance Median: $29 (105%)
Cash: $680 (2453% 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
Careplus $24 - $27 87%
Devoted Health $24 - $27 87%
Humana $24 - $272 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $306 87%
Veterans Evaluation Services $24 - $27 87%
Wellmed $24 - $27 87%
Aetna $25 - $204 90%
American Health Plan $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Prominence Healthfirst $25 - $29 90%
Sunshine State $25 - $30 90%
Ultimate Health Plan $25 - $28 90%
Centurion $26 - $30 94%
Cigna $26 - $239 94%
Florida Complete Care $26 - $29 94%
Amerihealth Caritas $29 - $33 105%
Corvel Corporation $29 105%
Longevity Health Plan $29 - $33 105%
Careworks (Rockport) $30 108%
Prime Health $30 108%
Solis Health Plan $35 - $40 126%
Freedom Health $58 - $109 209%
Optimum $58 209%
Avmed $88 - $340 317%
Simply Healthcare Plans $88 317%
Molina $129 - $184 465%
Oscar $129 465%
Health Sun Health Plan $145 523%
Simply Healthcare $160 577%
Sunshine State Health Plan $173 624%
United Ppo $299 1079%
Plotkin Health $340 1227%
Prime Health Sherriff $340 1227%
Multiplan $510 - $578 1840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals