CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida South Shore Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $33
  • Cash Discount Price: $396
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida South Shore Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.19x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$396

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $396 (1429%)
Insurance Median: $33 (119%)
Cash: $396 (1429% of Medicare)
Ins. Median: $33 (119% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $15 - $20 54%
Access 2 Healthcare Physicians Freedom Health $23 - $31 83%
Access 2 Healthcare Physicians Optimum $23 - $31 83%
Aetna $24 - $128 87%
Devoted Health $24 - $27 87%
Ndms Definitive Care $24 - $27 87%
United $24 - $192 87%
United Va Ccn $24 - $27 87%
Wellmed $24 - $27 87%
American Health Plan $25 - $29 90%
Baycare Health Plans $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Freedom Health Care $25 - $33 90%
Humana $25 - $120 90%
Optimum Healthcare $25 - $33 90%
Sunshine State $25 - $29 90%
Ultimate Health Plan $25 - $28 90%
Wellcare $25 - $29 90%
Align Senior Care $26 - $29 94%
Avmed $26 - $107 94%
Centurion $26 - $30 94%
Cigna $26 - $77 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Secur $26 - $30 94%
Careplus $27 - $31 97%
Caresource $27 97%
Corvel Corporation $29 105%
Longevity Health Plan $29 - $33 105%
Rockport Healthcare Group $29 105%
Prime Health $30 108%
Solis Health Plan $35 - $40 126%
Simply Healthcare $41 - $66 148%
Oscar $48 - $64 173%
Molina $61 - $115 220%
Evolutions Healthcare Systems $74 - $393 267%
Sunshine State Health Plan $82 - $109 296%
Plotkin Health $160 - $214 577%
Prime Health Sheriff $160 - $214 577%
Multiplan $240 - $363 866%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals