CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Highlands Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $46
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Highlands Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.00x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$46.09

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $46.09 (100%)
Cash / Self-Pay: $235 (510%)
Insurance Median: $46 (100%)
Cash: $235 (510% of Medicare)
Ins. Median: $46 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $46.09 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 $20 43%
Avmed $31 - $118 67%
Blue Cross Blue Shield $40 - $46 87%
Devoted Health $40 - $45 87%
Humana $40 - $94 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $106 87%
Wellmed $40 - $45 87%
Aetna $41 - $70 89%
American Health Plan $42 - $48 91%
Cigna $42 - $82 91%
Florida Complete Care $42 - $48 91%
Prominence Healthfirst $42 - $47 91%
Sunshine State $42 - $49 91%
Centurion $44 - $49 95%
Molina $45 98%
Oscar $45 98%
Amerihealth Caritas $48 - $54 104%
Longevity Health Plan $48 - $54 104%
Prime Health $52 113%
Simply Healthcare $55 119%
Office Of Sheiff Highland Co $82 178%
United Ppo $103 223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals