CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Osceola Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $49
  • Cash Discount Price: $1,044
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Osceola Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,044. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.06x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
$1,044

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $1,044 (2265%)
Insurance Median: $49 (106%)
Cash: $1,044 (2265% of Medicare)
Ins. Median: $49 (106% 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
Blue Cross Blue Shield $40 - $46 87%
Devoted Health $40 - $45 87%
Fl Health Care Plan $40 - $46 87%
Humana $40 - $292 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $470 87%
United Behavioral Health $40 - $45 87%
Wellmed $40 - $45 87%
Aetna $41 - $313 89%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Avmed $42 - $522 91%
Cigna $42 - $182 91%
Florida Complete Care $42 - $48 91%
Sunshine State $42 - $47 91%
Wellcare $42 - $47 91%
Gold Kidney Of Florida $43 - $49 93%
Centurion $44 - $49 95%
Clear Spring Health $44 - $49 95%
Careplus $45 - $51 98%
Ultimate Health Plan $46 - $52 100%
Longevity Health Plan $48 - $54 104%
Corvel Corporation $51 111%
Prime Health $52 113%
Careworks (Rockport Community) $54 117%
Solis Health Plan $57 - $65 124%
Freedom Health $75 163%
Optimum $75 163%
Oscar $167 362%
Simply Healthcare $174 378%
Molina Healthcare $198 - $282 430%
Evolutions $240 521%
Sunshine State Health Plan $266 577%
Plotkin Health $522 1133%
Prime Health Sheriff $522 1133%
Multiplan $783 - $887 1699%
Evernorth $835 1812%
Ppo Next $887 1924%
Novanet $940 2039%
Beacon Health Options $1,044 2265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals