CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $63
  • Cash Discount Price: $389
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Fort Walton-Destin Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.37x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$389

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $389 (844%)
Insurance Median: $63 (137%)
Cash: $389 (844% of Medicare)
Ins. Median: $63 (137% 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
Oscar $31 - $71 67%
Simply Healthcare $39 - $91 85%
Triwest Healthcare Alliance $39 - $44 85%
Blue Cross Blue Shield $40 - $46 87%
Humana $40 - $206 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $244 87%
United Behavioral Health $40 - $45 87%
Veterans Evaluation Services $40 - $45 87%
Wellmed $40 - $45 87%
Aetna $41 - $221 89%
Cigna $41 - $225 89%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Florida Complete Care $42 - $48 91%
Healthspring Of Florida $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%
Molina Healthcare $45 - $174 98%
Ultimate Health Plan $46 - $52 100%
Longevity Health Plan $48 - $54 104%
Corvel Corporation $51 111%
Prime Health $52 113%
Careworks (Rockport Community) $54 117%
Avmed $56 - $271 122%
Sunshine State Health Plan $60 - $138 130%
Plotkin Health $118 - $271 256%
Prime Health Sheriff $118 - $271 256%
Evolutions Healthcare $153 - $489 332%
Naphcare $153 - $353 332%
Multiplan $184 - $461 399%
Evernorth $188 - $434 408%
Ppo Next $200 - $461 434%
Novanet $212 - $489 460%
Beacon Health Options $235 - $543 510%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals