CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $51
  • Cash Discount Price: $598
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Sarasota Doctors Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $598. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.11x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
$598

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $598 (1297%)
Insurance Median: $51 (111%)
Cash: $598 (1297% of Medicare)
Ins. Median: $51 (111% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $28 61%
Aetna $40 - $181 87%
Blue Cross Blue Shield $40 - $46 87%
Ndms Definitive Care $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $272 87%
United Behavioral Health $40 - $45 87%
United Va Ccn $40 - $45 87%
Wellmed $40 - $45 87%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Cigna $42 - $105 91%
Florida Complete Care $42 - $48 91%
Humana $42 - $169 91%
Sunshine State $42 - $47 91%
Wellcare $42 - $47 91%
Access 2 Healthcare Physicians Freedom Health $43 - $44 93%
Access 2 Healthcare Physicians Optimum $43 - $44 93%
Gold Kidney Of Florida $43 - $49 93%
Secur $43 - $49 93%
Caresource $44 95%
Centurion $44 - $49 95%
Clear Spring Health $44 - $49 95%
Freedom Health Care $46 - $47 100%
Optimum Healthcare $46 - $47 100%
Avmed $47 - $151 102%
Corvel Corporation $51 111%
Rockport Healthcare Group $51 111%
Prime Health $52 113%
Simply Healthcare $87 - $93 189%
Oscar $89 - $91 193%
Molina $112 - $163 243%
Evolutions Healthcare Systems $136 - $556 295%
Sunshine State Health Plan $151 - $154 328%
Behealthy America $230 - $236 499%
Beacon Health Options $295 - $302 640%
Healthcare Sarasota $295 - $302 640%
Plotkin Health $295 - $302 640%
Prime Health Sheriff $295 - $302 640%
Multiplan $443 - $514 961%
Evernorth $473 - $483 1026%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals