CMS Price Transparency Data

Orthotic fitting and training

Facility: Kingman Regional Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $89
Cash Discount Price: $41
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Kingman Regional Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.93x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $41 (89%)

Insurance Median: $89 (193%)

Cash: $41 (89% of Medicare)

Ins. Median: $89 (193% 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
Health Choice Generations	$45	98%
Hpn Sierra Nevada Mcr Adv	$45	98%
Medicare (plans)	$45	98%
Triwest - All Plans	$45	98%
Humana	$46 - $94	100%
UnitedHealthcare	$46 - $113	100%
Care 1St Mcr Adv-All Other Plans	$47	102%
Apipa - Ahcccs-All Other Plans	$49 - $137	106%
Health Choice Az	$49 - $137	106%
Mercy Care Adv Snp-All Other Plans	$50	108%
Blue Cross Blue Shield	$51 - $78	111%
Care 1St Mcaid	$51 - $144	111%
Mercy Care Ahcccs Ddd	$54 - $151	117%
Cigna	$59 - $123	128%
Geo Group Chc Az State Prison-All Plans	$68	148%
Aetna	$70 - $85	152%
Health Plan Of Nevada-All Other Plans	$70 - $83	152%
Health Choice Hie Exchange	$77 - $110	167%
Multiplan-All Plans	$77 - $110	167%
Three Rivers-All Plans	$82 - $126	178%
America'S Choice Provider Network-All Plans	$85 - $130	184%
Az Foundation-All Plans	$89 - $137	193%
Mediversal-All Plans	$89 - $137	193%
One Health Plan-All Plans	$89 - $137	193%
Universal Health-All Plans	$89 - $137	193%
Health Choice- All Other Plans	$113	245%

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 $41.
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 Kingman Regional Medical Center 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.