CMS Price Transparency Data

Prosthetic fitting and training

Facility: HCA Florida University Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $139
Cash Discount Price: $1,069
vs. Medicare Baseline: 3.44x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at HCA Florida University Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,069. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 3.44x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$1,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $1,069 (2645%)

Insurance Median: $139 (344%)

Cash: $1,069 (2645% of Medicare)

Ins. Median: $139 (344% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 344% of the Medicare baseline (a markup of 244%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Devoted Health	$41	101%
Humana	$41 - $363	101%
Ndms Definitive Care	$41	101%
United	$41 - $481	101%
Wellmed	$41	101%
Aetna	$42 - $321	104%
Blue Cross Blue Shield	$42	104%
American Health Plan	$43	106%
Oscar	$43 - $171	106%
Prominence Healthfirst	$43	106%
Sunshine State	$43 - $45	106%
Align	$44	109%
Cigna	$44 - $224	109%
Florida Complete Care	$44	109%
Doctors Healthcare Plan	$45	111%
Gold Kidney	$46	114%
Careworks (Rockport)	$47	116%
Prime Health	$47	116%
Amerihealth Caritas	$49 - $182	121%
Longevity Health Plan	$49	121%
Solis Health Plan	$59	146%
Freedom Health	$92	228%
Avmed	$139 - $534	344%
Simply Healthcare Plans	$139	344%
Simply Healthcare	$144	356%
Molina	$203	502%
Health Sun Health Plan	$228	564%
United Ppo	$253	626%
Sunshine State Health Plan	$282	698%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,069.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97761.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.