CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: St Lucie Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $731
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at St Lucie Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$731

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: $731 (2515%)
Insurance Median: $31 (107%)
Cash: $731 (2515% 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
Blue Cross Blue Shield $26 - $30 89%
Careplus $26 - $30 89%
Devoted Health $26 - $30 89%
Hospice Of Treasure Coast $26 - $30 89%
Hospice Treasure Coast $26 - $30 89%
Humana $26 - $292 89%
Ndms Definitive Care $26 - $30 89%
Ultimate Health Plan $26 - $30 89%
United $26 - $329 89%
United Behavioral Health $26 - $30 89%
Veterans Evaluation Services $26 - $30 89%
Wellmed $26 - $30 89%
Aetna $27 - $219 93%
Prominence Healthfirst $27 - $31 93%
Sunshine State $27 - $32 93%
American Health Plan $28 - $31 96%
Cigna $28 - $257 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 $34 117%
Solis Health Plan $38 - $43 131%
Freedom Health $63 - $117 217%
Optimum $63 217%
Avmed $95 - $366 327%
Simply Healthcare Plans $95 327%
Molina $139 - $197 478%
Oscar $139 478%
Health Sun Health Plan $156 537%
Simply Healthcare $172 592%
Sunshine State Health Plan $186 640%
United Ppo $322 1108%
Plotkin Health $366 1259%
Prime Health Sherriff $366 1259%
Multiplan $548 - $621 1886%

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