CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Jfk Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $51
  • Cash Discount Price: $1,272
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Jfk Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,272. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.11x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$1,272

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $1,272 (2760%)
Insurance Median: $51 (111%)
Cash: $1,272 (2760% of Medicare)
Ins. Median: $51 (111% 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
Palm Beach Pace $39 - $44 85%
Careplus Sfl $41 - $47 89%
Devoted Health $41 - $47 89%
Humana $41 - $432 89%
Ndms Definitive Care $41 - $47 89%
United $41 - $572 89%
United Behavioral Health $41 - $47 89%
Veterans Evaluation Services $41 - $47 89%
Wellmed $41 - $47 89%
Aetna $42 - $382 91%
Blue Cross Blue Shield $42 - $48 91%
Oscar $43 - $204 93%
Prominence Healthfirst $43 - $49 93%
Sunshine State $43 - $51 93%
Align $44 - $50 95%
American Health Plan $44 - $50 95%
Cigna $44 - $267 95%
Florida Complete Care $44 - $50 95%
Centurion $45 - $51 98%
Doctors Healthcare Plan $45 - $51 98%
Gold Kidney $46 - $52 100%
Amerihealth Caritas $49 - $216 106%
Longevity Health Plan $49 - $56 106%
Corvel Corporation $53 115%
Careworks (Rockport) $54 117%
Prime Health $54 117%
Solis Health Plan $60 - $68 130%
Freedom Health $109 - $204 236%
Optimum $109 236%
Avmed $165 - $636 358%
Simply Healthcare Plans $165 358%
Simply Healthcare $172 373%
Molina $216 - $343 469%
Health Sun Health Plan $271 588%
Aids Healthcare $280 - $1,526 608%
Mmm Of Fl (Health Advantage Plan) $293 636%
United Ppo $301 653%
Sunshine State Health Plan $331 718%
Blis $445 966%
Healthy Palm Beaches $550 1193%
District Cares $636 1380%
Plotkin Health $636 1380%
Prime Health Sherriff $636 1380%
Medica Healthcare $750 1627%
Multiplan $954 - $1,081 2070%
Evernorth Bh $1,018 2209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals