CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $48
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Bayonet Point Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.04x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.
Cash / Self-Pay
$358

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $358 (777%)
Insurance Median: $48 (104%)
Cash: $358 (777% of Medicare)
Ins. Median: $48 (104% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $15 - $19 33%
Access 2 Healthcare Physicians Freedom Health $23 - $29 50%
Access 2 Healthcare Physicians Optimum $23 - $29 50%
Avmed $25 - $100 54%
Freedom Health Care $25 - $31 54%
Optimum Healthcare $25 - $31 54%
Aetna $40 - $120 87%
Blue Cross Blue Shield $40 - $46 87%
Devoted Health $40 - $45 87%
Hernando-Pasco Hospice $40 - $45 87%
Ndms Definitive Care $40 - $45 87%
Simply Healthcare $40 - $61 87%
Sunshine State $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $179 87%
United Va Ccn $40 - $45 87%
Wellcare $40 - $45 87%
Wellmed $40 - $45 87%
Align Senior Care $42 - $48 91%
American Health Plan $42 - $48 91%
Baycare Health Plans $42 - $47 91%
Cigna $42 - $72 91%
Florida Complete Care $42 - $48 91%
Humana $42 - $112 91%
Gold Kidney Of Florida $43 - $49 93%
Secur $43 - $49 93%
Caresource $44 95%
Centurion $44 - $49 95%
Clear Spring Health $44 - $49 95%
Careplus $45 - $51 98%
Longevity Health Plan $48 - $54 104%
Oscar $48 - $60 104%
Corvel Corporation $51 111%
Rockport Healthcare Group $51 111%
Prime Health $52 113%
Solis Health Plan $57 - $65 124%
Molina $60 - $108 130%
Evolutions Healthcare Systems $73 - $366 158%
Sunshine State Health Plan $81 - $102 176%
Plotkin Health $159 - $199 345%
Prime Health Sheriff $159 - $199 345%
Multiplan $238 - $339 516%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Fivay Rd, Hudson, FL 34667
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals