CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: HCA Florida University Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $36
Cash Discount Price: $717
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at HCA Florida University Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $717. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.10x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$717

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $717 (2191%)

Insurance Median: $36 (110%)

Cash: $717 (2191% of Medicare)

Ins. Median: $36 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Devoted Health	$29 - $33	89%
Humana	$29 - $244	89%
Ndms Definitive Care	$29 - $33	89%
United	$29 - $323	89%
Wellmed	$29 - $33	89%
Aetna	$30 - $215	92%
Blue Cross Blue Shield	$30 - $34	92%
Align	$31 - $36	95%
American Health Plan	$31 - $35	95%
Cigna	$31 - $151	95%
Florida Complete Care	$31 - $36	95%
Oscar	$31 - $115	95%
Prominence Healthfirst	$31 - $35	95%
Sunshine State	$31 - $37	95%
Doctors Healthcare Plan	$32 - $37	98%
Gold Kidney	$33 - $37	101%
Amerihealth Caritas	$35 - $122	107%
Longevity Health Plan	$35 - $40	107%
Careworks (Rockport)	$39	119%
Prime Health	$39	119%
Solis Health Plan	$42 - $48	128%
Freedom Health	$62	189%
Avmed	$93 - $358	284%
Simply Healthcare Plans	$93	284%
Simply Healthcare	$97	296%
Molina	$136	416%
Health Sun Health Plan	$153	467%
United Ppo	$170	519%
Sunshine State Health Plan	$189	577%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $717.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.