CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Capital Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $59
  • Cash Discount Price: $510
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Capital Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $510. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.28x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$510

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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: $510 (1107%)
Insurance Median: $59 (128%)
Cash: $510 (1107% of Medicare)
Ins. Median: $59 (128% 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 $38 - $94 82%
Blue Cross Blue Shield $40 - $46 87%
Humana $40 - $145 87%
Ndms Definitive Care $40 - $45 87%
United $40 - $326 87%
United Behavioral Health $40 - $45 87%
Wellmed $40 - $45 87%
Aetna $41 - $217 89%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Cigna $42 - $300 91%
Florida Complete Care $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%
Ultimate Health Plan $46 - $52 100%
Longevity Health Plan $48 - $54 104%
Gadsden County Jail $49 - $56 106%
Simply Healthcare $49 - $121 106%
Corvel Corporation $51 111%
Physician Network Association $51 - $58 111%
Prime Health $52 113%
Careworks (Rockport Community) $54 117%
Molina Healthcare $56 - $232 122%
Naphcare $67 - $76 145%
Avmed $71 - $362 154%
Sunshine State Health Plan $75 - $185 163%
Plotkin Health $148 - $362 321%
Prime Health Sheriff $148 - $362 321%
Multiplan $230 - $615 499%
Evernorth $236 - $579 512%
Evolutions Healthcare $251 - $615 545%
Ppo Next $251 - $615 545%
Novanet $266 - $651 577%
Beacon Health Options $295 - $724 640%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals