CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Oviedo Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $31
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Oviedo Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.07x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$272

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: $272 (936%)
Insurance Median: $31 (107%)
Cash: $272 (936% 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
Freedom Health $19 - $20 65%
Optimum $19 - $20 65%
Avmed $22 - $137 76%
Devoted Health $25 - $29 86%
Humana $25 - $114 86%
Ndms Definitive Care $25 - $29 86%
United $25 - $123 86%
Wellmed $25 - $29 86%
Aetna $26 - $82 89%
Blue Cross Blue Shield $26 - $29 89%
Fl Health Care Plan $26 - $29 89%
Sunshine State $26 - $30 89%
Wellcare $26 - $30 89%
Align Senior Care $27 - $31 93%
American Health Plan $27 - $30 93%
Cigna $27 - $48 93%
Florida Complete Care $27 - $31 93%
Gold Kidney Of Florida $27 - $31 93%
Centurion $28 - $31 96%
Clear Spring Health $28 - $31 96%
Careplus $29 - $33 100%
Ultimate Health Plan $29 - $33 100%
Longevity Health Plan $30 - $34 103%
Prime Health $33 114%
Solis Health Plan $37 - $42 127%
Oscar $43 - $44 148%
Simply Healthcare $45 - $46 155%
Molina Healthcare $51 - $52 175%
Evolutions $62 - $63 213%
Sunshine State Health Plan $69 - $70 237%
Florida Health Care Plan $101 - $103 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals