CMS Price Transparency Data
Orthotic fitting and training
Facility: Scripps Memorial Hospital La Jolla
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $52
- Cash Discount Price: $33
- vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Scripps Memorial Hospital La Jolla is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.13x the Medicare baseline. Located in 9888 Genesee Avenue, La Jolla, CA.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$52
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: $33 (72%)
Insurance Median: $52 (113%)
Cash: $33 (72% of Medicare)
Ins. Median: $52 (113% 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.
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 |
|---|---|---|
| Radys Cpmg [803] | $11 | 24% |
| Blue Cross Blue Shield | $28 - $52 | 61% |
| Bc [814] | $29 | 63% |
| Cigna | $29 - $52 | 63% |
| Imperial County Phys Med Group [855] | $29 - $45 | 63% |
| Integrated Health Partners [894] | $29 | 63% |
| Mc Alignment [917] | $29 | 63% |
| Mc Blue Shield Promise Health Plan [914] | $29 | 63% |
| Mc Blue Shield [902] | $29 | 63% |
| Mc Health Net [904] | $29 | 63% |
| Mc Scan [905] | $29 | 63% |
| Mc United [906] | $29 | 63% |
| Perlman Med Group [899] | $29 | 63% |
| Sharp Comm Med Grp [812] | $29 - $60 | 63% |
| Sharp Rees Stealy Med Grp [811] | $29 - $60 | 63% |
| Ucsd [807] | $29 - $60 | 63% |
| Centivo [581] | $30 | 65% |
| Blue Shield [230] | $43 - $47 | 93% |
| Health Net [340] | $44 - $130 | 95% |
| Hn [815] | $44 | 95% |
| Bs [816] | $45 - $47 | 98% |
| Uh [819] | $46 | 100% |
| UnitedHealthcare | $46 - $55 | 100% |
| Aetna | $50 - $67 | 108% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $50 | 108% |
| Kaiser [380] | $50 | 108% |
| Kaiser [383] | $50 | 108% |
| Astiva Mcr Adv [464] | $52 | 113% |
| Bc Mcr Adv [830] | $52 | 113% |
| Bs Mcr Adv [829] | $52 | 113% |
| Central Health Mcr Adv [441] | $52 | 113% |
| Clever Care Mcr Adv [465] | $52 | 113% |
| D-Snp Mcr Adv [889] | $52 | 113% |
| Dsnp/Csnp - Generic [458] | $52 | 113% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $52 | 113% |
| Family Health Centers Pace Medi-Cal [555] | $52 | 113% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $52 | 113% |
| Gpmg/Altura - Mcr Adv [888] | $52 | 113% |
| Hn Mcr Adv [832] | $52 | 113% |
| Humana | $52 | 113% |
| Integrated Health Partners - Mcr Adv [895] | $52 | 113% |
| Kaiser Northern Ca Region Mcr Adv [386] | $52 | 113% |
| La Care Mcr Adv Hmo [612] | $52 | 113% |
| Medicare (plans) | $52 | 113% |
| Mpmg Mcr Adv [836] | $52 | 113% |
| Mpmg [800] | $52 | 113% |
| Ocn Mcr Adv [890] | $52 | 113% |
| San Diego Pace Medi-Cal [553] | $52 | 113% |
| Scan Mcr Adv [835] | $52 | 113% |
| Scan [500] | $52 | 113% |
| Scan [818] | $52 | 113% |
| Sharp Comm Med Grp Mcr Adv [840] | $52 | 113% |
| Sharp Health Plan Mcr Adv [531] | $52 | 113% |
| Sharp Health Plan Mcr Adv [897] | $52 | 113% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $52 | 113% |
| St Paul'S Pace Medi-Cal [551] | $52 | 113% |
| Ucsd Mcr Adv [873] | $52 | 113% |
| Uh Mcr Adv [831] | $52 | 113% |
| Uh Palomar Health Mcr Adv [885] | $52 | 113% |
| Alignment Health Plan [443] | $54 | 117% |
| Rady Children'S Hospital [825] | $54 | 117% |
| Palomar Health [892] | $60 | 130% |
| Veba Med Grp [813] | $60 | 130% |
| Prime Healthcare [614] | $89 | 193% |
| Prospect Med Group [893] | $91 | 197% |
| Multi Plan Network [470] | $94 | 204% |
| First Health Network [330] | $99 | 215% |
| Pnoa [615] | $99 | 215% |
| Choice Care Network [270] | $106 | 230% |
| Healthsmart [350] | $106 | 230% |