Orthotic fitting and training
Facility: Glendale Adventist Medical Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $124
- Cash Discount Price: $33
- vs. Medicare Baseline: 2.69x 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 269% of the Medicare baseline (a markup of 169%). 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 |
|---|---|---|
| Aetna | $28 - $124 | 61% |
| Blue Shield Epn - All Other Plans | $45 - $327 | 98% |
| Blue Shield Non Epn | $48 - $376 | 104% |
| UnitedHealthcare | $51 - $181 | 111% |
| Alignment Hp Mcr Adv - All Plans | $52 - $244 | 113% |
| Blue Cross Blue Shield | $52 - $446 | 113% |
| Blue Shield Mcr Adv | $52 | 113% |
| Caremore Mcr Adv - All Plans | $52 - $154 | 113% |
| Clever Care Mcr Adv - All Plans | $52 | 113% |
| Healthcare Partners- All Plans | $52 - $116 | 113% |
| La Care Mcr Adv- All Plans | $52 - $134 | 113% |
| Molina Mcr | $52 | 113% |
| Regal Med Group Mcal | $52 | 113% |
| Scan Mcr Adv - All Plans | $52 - $159 | 113% |
| Tricare | $52 | 113% |
| Ah Employee Health Plan - All Plans | $57 - $94 | 124% |
| Cigna | $60 - $118 | 130% |
| Heritage Commercial - All Other Plans | $62 - $129 | 135% |
| Heritage Sr | $62 - $132 | 135% |
| Regal Medical Group Commercial - All Other Plans | $62 | 135% |
| Phys Assoc Op Only- All Plans | $67 - $73 | 145% |
| Dept Of State Hsp Metropolitan- All Plans | $68 | 148% |
| Molina Exchange - All Other Plans | $70 | 152% |
| Western Growers/Pinnacle - All Plans | $72 - $341 | 156% |
| Kaiser - All Plans | $73 - $146 | 158% |
| Healthnet Mcr Adv | $74 - $346 | 161% |
| First Health- All Plans | $76 - $142 | 165% |
| Healthnet - All Other Plans | $76 - $138 | 165% |
| Centivo - All Plans | $78 - $117 | 169% |
| Phcs- All Plans | $85 - $159 | 184% |
| Corvel- All Plans | $105 - $195 | 228% |
| Health Mgmt Network - All Plans | $111 - $207 | 241% |
| Employers Health Network - All Plans | $125 | 271% |
| Bc Medi-Cal | $131 | 284% |
| Blue Shield Medi-Cal | $131 - $610 | 284% |
| Medi-Cal | $131 - $244 | 284% |
| Molina Mcal | $131 - $244 | 284% |
| Heritage Mcal | $139 - $259 | 302% |
| Healthnet Mcal | $156 - $291 | 338% |
| Beech Street - All Plans | $166 - $183 | 360% |
| Choicecare - All Plans | $166 - $183 | 360% |
| Three Rivers - All Plans | $189 - $207 | 410% |