CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $734
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at HCA Florida Oak Hill Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $734. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$734

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: $734 (2526%)
Insurance Median: $31 (107%)
Cash: $734 (2526% 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
Aetna $25 - $220 86%
Devoted Health $25 - $29 86%
Hernando-Pasco Hospice $25 - $29 86%
Ndms Definitive Care $25 - $29 86%
Sunshine State $25 - $29 86%
United $25 - $331 86%
United Va Ccn $25 - $29 86%
Wellcare $25 - $29 86%
Wellmed $25 - $29 86%
Blue Cross Blue Shield $26 - $29 89%
Humana $26 - $206 89%
Ultimate Health Plan $26 - $29 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $128 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Secur $27 - $31 93%
Caresource $28 96%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Careplus $29 - $33 100%
Rockport Healthcare Group $30 103%
Corvel Corporation $32 110%
Prime Health $33 114%
Access 2 Healthcare Physicians Freedom Optimum Group Members $35 120%
Access 2 Healthcare Physicians Freedom Health $53 182%
Access 2 Healthcare Physicians Optimum $53 182%
Freedom Health Care $57 196%
Optimum Healthcare $57 196%
Avmed $59 - $184 203%
Simply Healthcare $93 - $113 320%
Oscar $110 379%
Molina $140 - $198 482%
Evolutions Healthcare Systems $169 - $676 582%
Sunshine State Health Plan $187 643%
Plotkin Health $367 1263%
Prime Health Sheriff $367 1263%
Multiplan $551 - $624 1896%

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