Orthotic fitting and training
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $93
- Cash Discount Price: $198
- vs. Medicare Baseline: 2.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 202% of the Medicare baseline (a markup of 102%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $36 | 78% |
| Health Net | $42 | 91% |
| Affiliated Doctors Of Orange County | $45 | 98% |
| Netcare Life And Health Insurance | $46 - $53 | 100% |
| Prospect Medical Group | $47 | 102% |
| Alta Los Angeles Hospital | $49 | 106% |
| Prospect Health Plan | $49 - $70 | 106% |
| Tricare | $50 | 108% |
| Aetna | $51 - $111 | 111% |
| Aids Health Foundation | $51 | 111% |
| Alignment Health Plan | $51 | 111% |
| Allied Physicians | $51 - $78 | 111% |
| Altamed Health Network | $51 | 111% |
| Apa Aco Inc | $51 | 111% |
| Avanti | $51 - $62 | 111% |
| Beverly Hospital | $51 - $57 | 111% |
| Blue Cross Blue Shield | $51 - $104 | 111% |
| Blue Shield Of California | $51 - $355 | 111% |
| Brand New Day | $51 - $65 | 111% |
| California Health Plan | $51 | 111% |
| Caloptima | $51 | 111% |
| Central Health Of California | $51 | 111% |
| Davita Heatlhcare Partners Plan Inc | $51 - $115 | 111% |
| Healthcare Partners | $51 | 111% |
| Healthnet | $51 | 111% |
| Heritage Provider Network | $51 - $70 | 111% |
| Humana | $51 | 111% |
| Kaiser Foundation Hospitals | $51 | 111% |
| Medicare (plans) | $51 - $106 | 111% |
| Monarch Health Plan | $51 - $145 | 111% |
| Pacificare | $51 | 111% |
| Scan Health Plan | $51 | 111% |
| Seoul Medical Group | $51 - $52 | 111% |
| Wellcare | $51 | 111% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $52 | 113% |
| Emanate Health | $52 - $65 | 113% |
| Innovative Integrated Health (Iih)/Orange County Pace | $52 | 113% |
| Monarch Healthcare Medical Group | $52 | 113% |
| Private Pay Flat Rate | $52 | 113% |
| Self-Pay | $52 | 113% |
| Align Senior Care | $54 | 117% |
| Nchp | $54 | 117% |
| Advance Clinical Research Institute | $55 - $64 | 119% |
| Ahmc Reciprocity Agreement | $55 - $64 | 119% |
| Talbert Medical Group | $55 | 119% |
| Ahmc Health Self-Insurance Epo | $65 | 141% |
| Knox-Keene Act | $65 | 141% |
| Medical Acquisition Company | $73 - $85 | 158% |
| Msi/Medical Services For Indigents | $75 | 163% |
| Healthcare Partners Commercial | $98 - $115 | 213% |
| Huntington Memorial Hospital | $98 - $115 | 213% |
| Memorial Healthcare Ipa | $100 | 217% |
| Genesis Healthcare Ipa Ancillary | $109 - $128 | 236% |
| Affiliated Health Fund | $127 - $149 | 276% |
| Allnet Preferred Provider | $127 - $149 | 276% |
| Care First | $127 - $149 | 276% |
| Interplan | $127 - $149 | 276% |
| Orange County Preferred Provider Organization | $127 - $160 | 276% |
| Private Healthcare Systems | $127 - $149 | 276% |
| Capp Care | $136 - $160 | 295% |
| Choicecare | $136 - $160 | 295% |
| Corvel | $136 - $160 | 295% |
| Multiplan Inc | $136 - $160 | 295% |
| Health Net Inc | $139 - $176 | 302% |
| National Provider Network | $146 - $170 | 317% |
| Three Rivers Providers Network | $146 - $170 | 317% |
| First Health | $155 - $181 | 336% |
| Health Payors Organization | $164 - $192 | 356% |
| Non Contracted Commercial | $182 - $213 | 395% |
| UnitedHealthcare | $198 - $344 | 430% |
| Cigna | $530 | 1150% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $1,403 | 3044% |