CMS Price Transparency Data

Prosthetic fitting and training

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $55
Cash Discount Price: $416
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at HCA Florida Pasadena Hospital A Part of HCA Florid is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.36x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$416

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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%)

Cash / Self-Pay: $416 (1029%)

Insurance Median: $55 (136%)

Cash: $416 (1029% of Medicare)

Ins. Median: $55 (136% 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.

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	$6 - $33	15%
Blue Cross Blue Shield	$6 - $34	15%
Aetna	$9 - $210	22%
Access 2 Healthcare Physicians Freedom Health	$10 - $50	25%
Access 2 Healthcare Physicians Optimum	$10 - $50	25%
Freedom Health Care	$10 - $55	25%
Optimum Healthcare	$10 - $55	25%
Avmed	$11 - $175	27%
Simply Healthcare	$17 - $108	42%
Oscar	$20 - $105	49%
United	$22 - $315	54%
Cigna	$24 - $126	59%
Molina	$25 - $189	62%
Evolutions Healthcare Systems	$31 - $644	77%
Sunshine State Health Plan	$34 - $178	84%
Humana	$37 - $196	92%
Corvel Corporation	$44	109%
Rockport Healthcare Group	$44	109%
Prime Health	$45	111%
Plotkin Health	$67 - $350	166%
Prime Health Sheriff	$67 - $350	166%
Multiplan	$100 - $595	247%

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 $416.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

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 97761.
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.