CMS Price Transparency Data
Orthotic fitting and training
Facility: Adventist Health White Memorial
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $111
- Cash Discount Price: $46
- vs. Medicare Baseline: 2.41x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Adventist Health White Memorial is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.41x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$46
Average discount available for prompt cash payment at this facility.
Insurance Median
$111
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: $46 (100%)
Insurance Median: $111 (241%)
Cash: $46 (100% of Medicare)
Ins. Median: $111 (241% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $28 - $182 | 61% |
| Blue Shield Mcr Adv | $34 - $105 | 74% |
| Prospect Mg Com/Pos Profee Only-All Other Plan | $39 | 85% |
| Prospect Mg Mcr Adv Profee Only | $39 | 85% |
| Access Group | $44 | 95% |
| Ahp - All Other Plans | $44 - $52 | 95% |
| Lasalle Mg Commercial - All Other Plans | $44 | 95% |
| Blue Shield Epn | $48 - $460 | 104% |
| UnitedHealthcare | $49 - $188 | 106% |
| Pacific Ipa - All Other Plans | $50 - $142 | 108% |
| Blue Shield - All Other Plans | $51 - $530 | 111% |
| Access Senior - All Other Plans | $52 | 113% |
| Ahp Senior | $52 | 113% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $52 | 113% |
| Altamed Connect | $52 | 113% |
| Avanti Mcr Adv - All Other Plans | $52 | 113% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $52 - $80 | 113% |
| Blue Cross Blue Shield | $52 - $549 | 113% |
| Brand New Day Mcare - All Plans | $52 | 113% |
| Bs Va Mcare | $52 | 113% |
| Care First Mcare - All Other Plans | $52 | 113% |
| Caremore Mcare - All Plans | $52 - $154 | 113% |
| Clever Care - All Plans | $52 | 113% |
| El Proyecto Comm Profee Only - All Other Plans | $52 | 113% |
| El Proyecto Mcr Profee Only | $52 | 113% |
| Fcs Ipa Mcr Advan Op/Profee Only | $52 | 113% |
| Global Care Comm Profee Only - All Other Plans | $52 | 113% |
| Global Care Mcr Profee Only | $52 | 113% |
| Hcla Comm Profee Only - All Other Plans | $52 | 113% |
| Hcla Mcr Profee Only | $52 | 113% |
| Humana | $52 | 113% |
| La Care Mcr Adv - All Plans | $52 - $206 | 113% |
| Lasalle Mg Senior | $52 | 113% |
| Medicare (plans) | $52 | 113% |
| Molina Mcare | $52 - $60 | 113% |
| Pacific Alliance Mcare - All Other Plans | $52 | 113% |
| Preferred Senior | $52 | 113% |
| Scan Health Mcare - All Plans | $52 - $244 | 113% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $52 | 113% |
| Tricare | $52 | 113% |
| Kaiser- All Plans | $54 - $154 | 117% |
| Cigna | $55 - $159 | 119% |
| Fcs Ipa Op/Profee Only - All Other Plans | $55 | 119% |
| Ah Employee Health Plan - All Plans | $57 - $94 | 124% |
| Healthnet - All Other Plans | $59 - $170 | 128% |
| Bright Health - All Plans | $60 | 130% |
| Molina Benefit Exchange - All Other Plans | $60 - $70 | 130% |
| Healthnet Comm Care | $61 - $175 | 132% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $62 | 135% |
| Preferred Commercial - All Other Plans | $62 | 135% |
| Hcpamg - All Plans | $66 - $188 | 143% |
| Intergrated Medical - All Plans | $68 | 148% |
| Healthcare Inc - All Other Plans | $72 - $206 | 156% |
| Western Growers/Pinnacle - All Plans | $72 - $341 | 156% |
| First Heatlh Ppo - All Plans | $76 - $218 | 165% |
| Centivo - All Plans | $78 - $117 | 169% |
| Php-Prospect Health Plan Cap - All Plans | $78 | 169% |
| Bella Vista Medi-Cal Op/Profee Only | $80 - $183 | 174% |
| Healthnet Mcr Adv | $80 - $574 | 174% |
| Phcs Ppo - All Plans | $85 - $244 | 184% |
| Ahf - All Plans | $98 - $281 | 213% |
| Beech Street - All Plans | $98 - $281 | 213% |
| Interplan Ppo - All Plans | $98 - $281 | 213% |
| Corvel Corp - All Plans | $105 - $300 | 228% |
| Multiplan Ppo - All Plans | $109 - $311 | 236% |
| Healthmannet - All Plans | $111 - $319 | 241% |
| Next Inc Ppo - All Plans | $111 - $319 | 241% |
| Trpn - All Plans | $111 - $319 | 241% |
| Fpn Ppo - All Plans | $118 - $338 | 256% |
| Access Medi-Cal | $131 - $375 | 284% |
| Ahp Medi-Cal | $131 - $375 | 284% |
| Alta Los Angeles Mcal 1/1/19 | $131 - $375 | 284% |
| Altamed Medi-Cal - All Other Plans | $131 - $431 | 284% |
| Avanti Mcal | $131 - $375 | 284% |
| Bc Medi-Cal | $131 | 284% |
| Blue Shield Medi-Cal | $131 - $938 | 284% |
| Care First Medi-Cal | $131 - $1,312 | 284% |
| Healthcare Inc Medi-Cal | $131 - $375 | 284% |
| Lasalle Mg Medi-Cal | $131 - $375 | 284% |
| Medi-Cal | $131 - $375 | 284% |
| Molina Medi-Cal | $131 - $375 | 284% |
| Pacific Alliance Medi-Cal | $131 - $375 | 284% |
| Pacific Ipa Medi-Cal | $131 - $375 | 284% |
| Preferred Ipa La Care Mcal Cap | $131 - $375 | 284% |
| Preferred Medi-Cal | $131 - $375 | 284% |
| Prospect Mg Mcal Profee Only | $131 | 284% |
| Healthnet Mcal | $156 - $447 | 338% |
| Fcs Ipa Medi-Cal Op/Profee Only | $157 - $450 | 341% |
| Preferred Healthy | $164 - $469 | 356% |
| Assoc Hispanic Physcns Mcal | $183 - $525 | 397% |
| El Proyecto Mcal Profee Only | $183 | 397% |
| Global Care Mcal Profee Only | $183 | 397% |
| Hcla Mcal Profee Only | $183 | 397% |