CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Kendall Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $52
  • Cash Discount Price: $322
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Kendall Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.13x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$322

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $322 (699%)
Insurance Median: $52 (113%)
Cash: $322 (699% of Medicare)
Ins. Median: $52 (113% 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
Freedom Health $28 - $52 61%
Optimum $28 61%
Avmed $39 - $161 85%
Careplus Sfl $42 - $48 91%
Cigna $42 - $68 91%
Devoted Health $42 - $48 91%
Humana $42 - $109 91%
Leon Health $42 - $48 91%
Ndms Definitive Care $42 - $48 91%
Simply Healthcare Plans $42 91%
United $42 - $145 91%
United Behavioral Health $42 - $48 91%
Veterans Evaluation Services $42 - $48 91%
Wellmed $42 - $48 91%
Aetna $43 - $97 93%
Blue Cross Blue Shield $43 - $49 93%
Simply Healthcare $43 93%
Oscar $44 - $52 95%
Prominence Healthfirst $44 - $50 95%
Sunshine State $44 - $53 95%
Align $45 - $51 98%
American Health Plan $45 - $51 98%
Florida Complete Care $45 - $51 98%
Centurion $46 - $53 100%
Doctors Healthcare Plan $46 - $53 100%
Gold Kidney $47 - $54 102%
Amerihealth Caritas $50 - $57 108%
Longevity Health Plan $50 - $57 108%
Corvel Corporation $55 119%
Careworks (Rockport) $56 122%
Prime Health $56 122%
Molina $61 - $87 132%
Solis Health Plan $61 - $69 132%
Health Sun Health Plan $69 150%
Aids Healthcare $71 - $386 154%
Naphcare $72 - $81 156%
Mmm Of Fl (Health Advantage Plan) $74 161%
United Ppo $76 165%
Sunshine State Health Plan $84 182%
Seven Corners $88 - $115 191%
Wellpath $88 - $115 191%
Plotkin Health $161 349%
Prime Health Sherriff $161 349%
Medica Healthcare $187 406%
Multiplan $242 - $274 525%
Evernorth Bh $258 560%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals