CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Capital Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $37
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Capital Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.27x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$365

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
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $365 (1256%)
Insurance Median: $37 (127%)
Cash: $365 (1256% of Medicare)
Ins. Median: $37 (127% 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
Humana $25 - $107 86%
Ndms Definitive Care $25 - $29 86%
Oscar $25 - $70 86%
United $25 - $242 86%
United Behavioral Health $25 - $29 86%
Wellmed $25 - $29 86%
Aetna $26 - $161 89%
Blue Cross Blue Shield $26 - $29 89%
Sunshine State $26 - $30 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $223 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Ultimate Health Plan $29 - $33 100%
Longevity Health Plan $30 - $34 103%
Gadsden County Jail $31 - $36 107%
Corvel Corporation $32 110%
Simply Healthcare $32 - $90 110%
Physician Network Association $33 - $37 114%
Prime Health $33 114%
Careworks (Rockport Community) $34 117%
Molina Healthcare $37 - $172 127%
Naphcare $43 - $49 148%
Avmed $46 - $268 158%
Sunshine State Health Plan $49 - $137 169%
Plotkin Health $96 - $268 330%
Prime Health Sheriff $96 - $268 330%
Multiplan $150 - $456 516%
Evernorth $154 - $429 530%
Evolutions Healthcare $164 - $456 564%
Ppo Next $164 - $456 564%
Novanet $173 - $483 595%
Beacon Health Options $192 - $537 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals