CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida St Petersburg Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $48
  • Cash Discount Price: $332
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida St Petersburg Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $332. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.04x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.
Cash / Self-Pay
$332

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $332 (720%)
Insurance Median: $48 (104%)
Cash: $332 (720% of Medicare)
Ins. Median: $48 (104% 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 $12 - $19 26%
Access 2 Healthcare Physicians Freedom Health $19 - $29 41%
Access 2 Healthcare Physicians Optimum $19 - $29 41%
Avmed $21 - $100 46%
Freedom Health Care $21 - $31 46%
Optimum Healthcare $21 - $31 46%
Simply Healthcare $34 - $62 74%
Aetna $40 - $120 87%
Blue Cross Blue Shield $40 - $46 87%
Devoted Health $40 - $45 87%
Ndms Definitive Care $40 - $45 87%
Oscar $40 - $60 87%
Sunshine State $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $180 87%
United Va Ccn $40 - $45 87%
Wellmed $40 - $45 87%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Baycare Health Plans $42 - $47 91%
Cigna $42 - $72 91%
Florida Complete Care $42 - $48 91%
Humana $42 - $112 91%
Wellcare $42 - $47 91%
Gold Kidney Of Florida $43 - $49 93%
Secur $43 - $49 93%
Caresource $44 95%
Centurion $44 - $49 95%
Clear Spring Health $44 - $49 95%
Careplus $45 - $51 98%
Longevity Health Plan $48 - $54 104%
Molina $50 - $108 108%
Corvel Corporation $51 111%
Rockport Healthcare Group $51 111%
Prime Health $52 113%
Solis Health Plan $57 - $65 124%
Evolutions Healthcare Systems $61 - $369 132%
Sunshine State Health Plan $67 - $102 145%
Plotkin Health $132 - $200 286%
Prime Health Sheriff $132 - $200 286%
Multiplan $198 - $341 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 38Th Ave N, Saint Petersburg, FL 33710
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals