CMS Price Transparency Data

Orthotic fitting and training

Facility: USA Health Children's & Women's Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $63
Cash Discount Price: $114
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at USA Health Children's & Women's Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.37x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $114 (247%)

Insurance Median: $63 (137%)

Cash: $114 (247% of Medicare)

Ins. Median: $63 (137% 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.

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
Central Healthcare Services	$33 - $98	72%
Magnolia Health	$38	82%
Truecare	$38	82%
UnitedHealthcare	$38 - $106	82%
Molina Chip	$42	91%
Blue Cross Blue Shield	$45	98%
Aetna	$46 - $108	100%
Devoted Health	$46 - $138	100%
Humana	$46 - $128	100%
Viva Health	$46 - $98	100%
Wellcare	$46	100%
Molina Marketplace	$51	111%
Ambetter / Centene	$55	119%
Mississippi Physicians Care Network (Mpcn)	$62	135%
Cigna	$74 - $150	161%
Multiplan	$74 - $138	161%
Novanet	$103 - $177	223%

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 $114.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
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.