CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida South Shore Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $49
  • Cash Discount Price: $287
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida South Shore Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.06x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$287

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: $287 (623%)
Insurance Median: $49 (106%)
Cash: $287 (623% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $11 - $16 24%
Access 2 Healthcare Physicians Freedom Health $18 - $25 39%
Access 2 Healthcare Physicians Optimum $18 - $25 39%
Freedom Health Care $19 - $27 41%
Optimum Healthcare $19 - $27 41%
Avmed $20 - $87 43%
Simply Healthcare $31 - $53 67%
Oscar $37 - $52 80%
Aetna $39 - $104 85%
Blue Cross Blue Shield $40 - $46 87%
Devoted Health $40 - $45 87%
Ndms Definitive Care $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $156 87%
United Va Ccn $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 - $63 91%
Florida Complete Care $42 - $48 91%
Humana $42 - $97 91%
Sunshine State $42 - $47 91%
Wellcare $42 - $47 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%
Molina $46 - $94 100%
Longevity Health Plan $48 - $54 104%
Corvel Corporation $51 111%
Rockport Healthcare Group $51 111%
Prime Health $52 113%
Evolutions Healthcare Systems $56 - $319 122%
Solis Health Plan $57 - $65 124%
Sunshine State Health Plan $62 - $89 135%
Plotkin Health $122 - $174 265%
Prime Health Sheriff $122 - $174 265%
Multiplan $183 - $295 397%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals