CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Florida Palms West Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $92
  • Cash Discount Price: $680
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Florida Palms West Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $680. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.00x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$680

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $680 (1475%)
Insurance Median: $92 (200%)
Cash: $680 (1475% of Medicare)
Ins. Median: $92 (200% 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
Freedom Health $32 - $172 69%
Optimum $32 - $92 69%
Careplus Sfl $41 - $47 89%
Devoted Health $41 - $47 89%
Humana $41 - $366 89%
Ndms Definitive Care $41 - $47 89%
United $41 - $484 89%
Veterans Evaluation Services $41 - $47 89%
Wellmed $41 - $47 89%
Aetna $42 - $322 91%
Blue Cross Blue Shield $42 - $48 91%
Oscar $43 - $172 93%
Prominence Healthfirst $43 - $49 93%
Sunshine State $43 - $51 93%
Align $44 - $50 95%
American Health Plan $44 - $50 95%
Cigna $44 - $226 95%
Florida Complete Care $44 - $50 95%
Centurion $45 - $51 98%
Doctors Healthcare Plan $45 - $51 98%
Gold Kidney $46 - $52 100%
Avmed $48 - $538 104%
Simply Healthcare Plans $48 - $140 104%
Amerihealth Caritas $49 - $183 106%
Longevity Health Plan $49 - $56 106%
Simply Healthcare $50 - $145 108%
Corvel Corporation $53 115%
Careworks (Rockport) $54 117%
Prime Health $54 117%
Solis Health Plan $60 - $68 130%
Molina $71 - $290 154%
Health Sun Health Plan $79 - $229 171%
Aids Healthcare $82 - $1,290 178%
Mmm Of Fl (Health Advantage Plan) $86 - $247 187%
United Ppo $88 - $255 191%
Sunshine State Health Plan $97 - $280 210%
Health Care District $186 - $538 404%
Palm Beach Juvenile Correction $186 - $538 404%
Plotkin Health $186 - $538 404%
Prime Health Sherriff $186 - $538 404%
Medica Healthcare $216 - $624 469%
Multiplan $280 - $914 608%
Healthy Palm Beaches $550 1193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals