CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: St Lucie Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $30
  • Cash Discount Price: $823
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at St Lucie Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $823. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.08x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$823

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $823 (2969%)
Insurance Median: $30 (108%)
Cash: $823 (2969% of Medicare)
Ins. Median: $30 (108% 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
Blue Cross Blue Shield $25 - $29 90%
Careplus $25 - $28 90%
Devoted Health $25 - $28 90%
Hospice Of Treasure Coast $25 - $28 90%
Hospice Treasure Coast $25 - $28 90%
Humana $25 - $329 90%
Ndms Definitive Care $25 - $28 90%
Ultimate Health Plan $25 - $29 90%
United $25 - $370 90%
United Behavioral Health $25 - $28 90%
Veterans Evaluation Services $25 - $28 90%
Wellmed $25 - $28 90%
Aetna $26 - $247 94%
American Health Plan $26 - $30 94%
Prominence Healthfirst $26 - $30 94%
Sunshine State $26 - $31 94%
Centurion $27 - $31 97%
Cigna $27 - $289 97%
Florida Complete Care $27 - $30 97%
Amerihealth Caritas $30 - $34 108%
Longevity Health Plan $30 - $34 108%
Corvel Corporation $31 112%
Careworks (Rockport) $32 115%
Prime Health $32 115%
Solis Health Plan $36 - $41 130%
Freedom Health $71 - $132 256%
Optimum $71 256%
Avmed $107 - $412 386%
Simply Healthcare Plans $107 386%
Molina $156 - $222 563%
Oscar $156 563%
Health Sun Health Plan $175 631%
Simply Healthcare $193 696%
Sunshine State Health Plan $210 758%
United Ppo $362 1306%
Plotkin Health $412 1486%
Prime Health Sherriff $412 1486%
Multiplan $617 - $700 2226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals