CMS Price Transparency Data

Prosthetic fitting and training

Facility: HCA Florida Jfk Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $43
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at HCA Florida Jfk Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.06x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Insurance Median: $43 (106%)
Ins. Median: $43 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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
Humana $39 - $41 97%
Palm Beach Pace $39 97%
Careplus Sfl $41 101%
Devoted Health $41 101%
Ndms Definitive Care $41 101%
United $41 - $42 101%
United Behavioral Health $41 101%
Veterans Evaluation Services $41 101%
Wellmed $41 101%
Aetna $42 104%
Blue Cross Blue Shield $42 104%
American Health Plan $43 106%
Oscar $43 106%
Prominence Healthfirst $43 106%
Sunshine State $43 - $45 106%
Align $44 109%
Cigna $44 109%
Florida Complete Care $44 109%
Centurion $45 111%
Doctors Healthcare Plan $45 111%
Corvel Corporation $46 114%
Gold Kidney $46 114%
Careworks (Rockport) $47 116%
Prime Health $47 116%
Amerihealth Caritas $49 121%
Longevity Health Plan $49 121%
Solis Health Plan $59 146%

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