CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Lawnwood Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $54
  • Cash Discount Price: $601
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Lawnwood Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $601. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$601

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $601 (1304%)
Insurance Median: $54 (117%)
Cash: $601 (1304% of Medicare)
Ins. Median: $54 (117% 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
Careplus $41 - $47 89%
Devoted Health $41 - $48 89%
Humana $41 - $264 89%
Ndms Definitive Care $41 - $47 89%
United $41 - $297 89%
United Behavioral Health $41 - $47 89%
Veterans Evaluation Services $41 - $47 89%
Wellmed $41 - $47 89%
Aetna $42 - $317 91%
Blue Cross Blue Shield $42 - $445 91%
Bright Health $42 - $180 91%
Cigna $42 - $385 91%
Mutual Of Omaha $42 - $48 91%
Rocky Mountain Health $42 - $48 91%
Total Longterm Care $42 - $48 91%
Triwest Health Alliance $42 - $48 91%
Ultimate Health Plan $42 - $48 91%
Innovage Pace $43 - $49 93%
Kaiser $43 - $213 93%
Prominence Healthfirst $43 - $49 93%
Sunshine State $43 - $51 93%
American Health Plan $44 - $50 95%
Delaware Life Insurance $44 - $50 95%
Florida Complete Care $44 - $50 95%
Wellcare $44 - $50 95%
Centurion $45 - $51 98%
Amerihealth Caritas $49 - $56 106%
Longevity Health Plan $49 - $56 106%
Corvel Corporation $53 115%
Careworks (Rockport) $54 117%
Prime Health $54 - $541 117%
Freedom Health $57 - $106 124%
Optimum $57 124%
Solis Health Plan $60 - $68 130%
Vail Health $64 - $91 139%
Avmed $86 - $330 187%
Simply Healthcare Plans $86 187%
Molina $126 - $178 273%
Oscar $126 273%
Health Sun Health Plan $141 306%
Simply Healthcare $155 336%
Sunshine State Health Plan $169 367%
Office Of Sheiff Highland Co $231 501%
Western Plains Community Health $275 - $391 597%
United Ppo $291 631%
Multiplan $296 - $562 642%
Northcare $296 - $421 642%
Physician Health Partners $296 - $421 642%
Pinnacol Workers Comp $317 - $451 688%
Plotkin Health $330 716%
Prime Health Sherriff $330 716%
Medical Development International $338 - $481 733%
Evernorth Bh $529 1148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals