CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida North Florida Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $48
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida North Florida Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.04x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$439

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: $439 (952%)
Insurance Median: $48 (104%)
Cash: $439 (952% 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
Hospice Of North Central Fl $36 - $40 78%
Blue Cross Blue Shield $40 - $46 87%
Capital Health Plan $40 - $46 87%
Humana $40 - $88 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $198 87%
United Behavioral Health $40 - $45 87%
Wellmed $40 - $45 87%
Aetna $41 - $132 89%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Cigna $42 - $183 91%
Florida Complete Care $42 - $48 91%
Sunshine State $42 - $47 91%
Wellcare $42 - $47 91%
Gold Kidney Of Florida $43 - $49 93%
Centurion $44 - $49 95%
Clear Spring Health $44 - $49 95%
Ultimate Health Plan $46 - $52 100%
Longevity Health Plan $48 - $54 104%
Corvel Corporation $51 111%
Prime Health $52 113%
Avmed $53 - $220 115%
Oscar $53 115%
Careworks (Rockport Community) $54 117%
Simply Healthcare $56 122%
Molina Healthcare $83 - $141 180%
Evolutions $101 219%
Sunshine State Health Plan $112 243%
Plotkin Health $220 477%
Prime Health Sheriff $220 477%
Corizon Phs $263 571%
Multiplan $343 - $373 744%
Evernorth $351 762%
Evolutions Healthcare $373 809%
Ppo Next $373 809%
Novanet $395 857%
Beacon Health Options $439 952%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals