CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Orange Park Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $61
  • Cash Discount Price: $505
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Orange Park Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.32x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$505

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $505 (1096%)
Insurance Median: $61 (132%)
Cash: $505 (1096% of Medicare)
Ins. Median: $61 (132% 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 Community $32 - $36 69%
Hospice Haven $36 - $40 78%
Blue Cross Blue Shield $40 - $46 87%
Careplus $40 - $45 87%
Devoted Health $40 - $45 87%
Humana $40 - $207 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $227 87%
United Behavioral Health $40 - $45 87%
Veterans Evaluation Services $40 - $45 87%
Wellmed $40 - $45 87%
American Health Plan $42 - $48 91%
Cigna $42 - $143 91%
Florida Complete Care $42 - $48 91%
Optimum Healthcare $42 91%
Sunshine State $42 - $47 91%
Wellcare $42 - $47 91%
Gold Kidney $43 - $49 93%
Longevity $48 - $54 104%
Clay County Sheriffs Office $49 - $56 106%
Corvel Corporation $51 111%
Prime Health $52 113%
Avmed $61 - $142 132%
Simply Healthcare $64 - $78 139%
Oscar $81 176%
Aetna $87 - $152 189%
Positive Healthcare $111 241%
Sunshine State Health Plan $129 280%
Molina Healthcare $136 295%
Medicare (plans) $227 493%
Plotkin Health $252 - $253 547%
Multiplan $393 - $430 853%
Evernorth $403 - $404 874%
Evolutions Healthcare $403 - $430 874%
Ppo Next $429 - $430 931%
Novanet $454 - $455 985%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals