CMS Price Transparency Data

Prosthetic fitting and training

Facility: HCA Florida Putnam Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $46
  • Cash Discount Price: $402
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at HCA Florida Putnam Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.14x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$402

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $402 (995%)
Insurance Median: $46 (114%)
Cash: $402 (995% of Medicare)
Ins. Median: $46 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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
Cigna $26 - $61 64%
Humana $38 - $68 94%
Blue Cross Blue Shield $40 99%
Fl Health Care Plan $40 99%
Ndms Definitive Care $40 99%
United $40 - $181 99%
Wellmed $40 99%
Aetna $41 - $121 101%
Align Senior Care $42 104%
American Health Plan $42 104%
Florida Complete Care $42 104%
Sunshine State $42 104%
Wellcare $42 104%
Gold Kidney Of Florida $43 106%
Centurion $44 109%
Clear Spring Health $44 109%
Corvel Corporation $44 109%
Putnam County Sheriffs $44 109%
Prime Health $45 111%
Ultimate Health Plan $45 111%
Careworks (Rockport Community) $46 114%
Longevity Health Plan $47 116%
Avmed $48 - $201 119%
Oscar $48 119%
Simply Healthcare $51 126%
Molina Healthcare $76 - $129 188%
Evolutions $92 228%
Sunshine State Health Plan $102 252%
Plotkin Health $201 497%
Prime Health Sheriff $201 497%
Multiplan $313 - $341 775%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals