CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Oak Hill Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $48
  • Cash Discount Price: $770
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Oak Hill Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.04x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$770

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: $770 (1671%)
Insurance Median: $48 (104%)
Cash: $770 (1671% 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 $36 78%
Aetna $40 - $231 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%
Sunshine State $40 - $45 87%
Ultimate Health Plan $40 - $46 87%
United $40 - $346 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%
Cigna $42 - $134 91%
Florida Complete Care $42 - $48 91%
Humana $42 - $215 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%
Corvel Corporation $51 111%
Rockport Healthcare Group $51 111%
Prime Health $52 113%
Access 2 Healthcare Physicians Freedom Health $55 119%
Access 2 Healthcare Physicians Optimum $55 119%
Freedom Health Care $60 130%
Optimum Healthcare $60 130%
Avmed $62 - $192 135%
Simply Healthcare $98 - $119 213%
Oscar $115 250%
Molina $146 - $208 317%
Evolutions Healthcare Systems $177 - $708 384%
Sunshine State Health Plan $196 425%
Plotkin Health $385 835%
Prime Health Sheriff $385 835%
Multiplan $577 - $654 1252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals