CMS Price Transparency Data

Orthotic fitting and training

Facility: St Catherine's Rehabilitation Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $50
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at St Catherine's Rehabilitation Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.08x the Medicare baseline. Located in 1050 N E 125Th Street, North Miami, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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%)
Insurance Median: $50 (108%)
Ins. Median: $50 (108% 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
Metra Comp $32 69%
Integrated Health $37 80%
Medin-Crease Health Plan $37 - $42 80%
Coventry $40 87%
Humana $40 87%
Positive $40 87%
Rockport $40 - $45 87%
Concordia $50 108%
Dimension Health $50 108%
Preferred Care Partners $50 108%
Prime Health Care Partners $50 108%
UnitedHealthcare $50 108%
Wellcare $50 108%
Molina Hc $55 119%
Avmed $60 130%
Cigna $65 141%
Simply $75 163%
Doctors $80 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1050 N E 125Th Street, North Miami, FL 33161
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL