CMS Price Transparency Data

Orthotic fitting and training

Facility: UF Health Shands Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $67
Cash Discount Price: $131
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at UF Health Shands Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.45x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $131 (284%)

Insurance Median: $67 (145%)

Cash: $131 (284% of Medicare)

Ins. Median: $67 (145% 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.

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
Beacon Health Strategies	$24	52%
Humana	$24 - $61	52%
Sunshine State Health Plan	$24	52%
UnitedHealthcare	$24 - $239	52%
Aetna	$25 - $197	54%
Florida Community Care	$25	54%
Amerihealth Caritas Florida	$26	56%
Community Care Plan	$26	56%
Molina	$26	56%
Simply Healthcare	$29	63%
Blue Cross Blue Shield	$60 - $134	130%
Capital Health Plan	$61 - $120	132%
North Central Hospice	$61	132%
Wellcare	$61	132%
Carelon Health	$64	139%
Ahf Mco Of Fl	$67	145%
Devoted Health Plan	$67	145%
Freedom Health- Inc./Optimum Healthcare- Inc.	$67	145%
Uaa	$91	197%
Ambetter / Centene	$96	208%
Northeast Fl Hospital	$105	228%
Careplus	$108	234%
Positive Healthcare Partners	$108	234%
Florida Health Care Plan	$120	260%
Wellpath	$120	260%
Cigna	$122	265%
Health First	$167	362%
Prime Health Services	$167	362%
Avmed	$173 - $189	375%
Archbold Medical Center	$179	388%
Genex	$179	388%
Corvel Corp	$203	440%
Geha	$215	466%

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 $131.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UF Health Shands Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
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.