CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Raulerson Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $49
  • Cash Discount Price: $731
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Raulerson Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.06x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$731

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $731 (1586%)
Insurance Median: $49 (106%)
Cash: $731 (1586% of Medicare)
Ins. Median: $49 (106% 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
Blue Cross Blue Shield $40 - $46 87%
Careplus $40 - $45 87%
Devoted Health $40 - $45 87%
Humana $40 - $292 87%
Ndms Definitive Care $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $329 87%
Veterans Evaluation Services $40 - $45 87%
Wellmed $40 - $45 87%
Aetna $41 - $219 89%
American Health Plan $42 - $48 91%
Cigna $42 - $257 91%
Florida Complete Care $42 - $48 91%
Prominence Healthfirst $42 - $47 91%
Sunshine State $42 - $49 91%
Centurion $44 - $49 95%
Amerihealth Caritas $48 - $54 104%
Longevity Health Plan $48 - $54 104%
Corvel Corporation $51 111%
Careworks (Rockport) $52 113%
Prime Health $52 113%
Solis Health Plan $57 - $65 124%
Freedom Health $63 - $117 137%
Optimum $63 137%
Avmed $95 - $366 206%
Simply Healthcare Plans $95 206%
Molina $139 - $197 302%
Oscar $139 302%
Health Sun Health Plan $156 338%
Simply Healthcare $172 373%
Sunshine State Health Plan $186 404%
United Ppo $322 699%
Plotkin Health $366 794%
Prime Health Sherriff $366 794%
Multiplan $548 - $621 1189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals