CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at HCA Florida Oak Hill Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$581

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: $581 (2096%)
Insurance Median: $29 (105%)
Cash: $581 (2096% 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
Aetna $24 - $174 87%
Devoted Health $24 - $27 87%
Hernando-Pasco Hospice $24 - $27 87%
Ndms Definitive Care $24 - $27 87%
Sunshine State $24 - $27 87%
United $24 - $261 87%
United Va Ccn $24 - $27 87%
Wellcare $24 - $27 87%
Wellmed $24 - $27 87%
American Health Plan $25 - $29 90%
Blue Cross Blue Shield $25 - $28 90%
Humana $25 - $163 90%
Ultimate Health Plan $25 - $28 90%
Align Senior Care $26 - $29 94%
Centurion $26 - $30 94%
Cigna $26 - $101 94%
Clear Spring Health $26 - $30 94%
Florida Complete Care $26 - $29 94%
Gold Kidney Of Florida $26 - $30 94%
Secur $26 - $30 94%
Access 2 Healthcare Physicians Freedom Optimum Group Members $27 97%
Careplus $27 - $31 97%
Caresource $27 97%
Corvel Corporation $29 105%
Rockport Healthcare Group $29 105%
Prime Health $30 108%
Access 2 Healthcare Physicians Freedom Health $42 152%
Access 2 Healthcare Physicians Optimum $42 152%
Freedom Health Care $45 162%
Optimum Healthcare $45 162%
Avmed $46 - $145 166%
Simply Healthcare $74 - $89 267%
Oscar $87 314%
Molina $110 - $157 397%
Evolutions Healthcare Systems $134 - $534 483%
Sunshine State Health Plan $148 534%
Plotkin Health $290 1046%
Prime Health Sheriff $290 1046%
Multiplan $436 - $494 1573%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals