CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $57
Cash Discount Price: $302
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Pasadena Hospital A Part of HCA Florid is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.24x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$302

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $302 (655%)

Insurance Median: $57 (124%)

Cash: $302 (655% of Medicare)

Ins. Median: $57 (124% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$11 - $17	24%
Blue Cross Blue Shield	$12 - $17	26%
Access 2 Healthcare Physicians Freedom Health	$17 - $26	37%
Access 2 Healthcare Physicians Optimum	$17 - $26	37%
Aetna	$17 - $109	37%
Avmed	$19 - $91	41%
Freedom Health Care	$19 - $28	41%
Optimum Healthcare	$19 - $28	41%
Simply Healthcare	$30 - $56	65%
Oscar	$36 - $55	78%
United	$39 - $164	85%
Cigna	$43 - $66	93%
Humana	$43 - $102	93%
Molina	$46 - $98	100%
Corvel Corporation	$51	111%
Rockport Healthcare Group	$51	111%
Prime Health	$52	113%
Evolutions Healthcare Systems	$55 - $335	119%
Sunshine State Health Plan	$61 - $93	132%
Plotkin Health	$120 - $182	260%
Prime Health Sheriff	$120 - $182	260%
Multiplan	$180 - $310	391%

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 $302.
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 HCA Florida Pasadena Hospital A Part of HCA Florid 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.