CMS Price Transparency Data
Orthotic fitting and training
Facility: Clovis Community Medical Center
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $49
- Cash Discount Price: $131
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Clovis Community Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.06x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$131
Average discount available for prompt cash payment at this facility.
Insurance Median
$49
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: $131 (284%)
Insurance Median: $49 (106%)
Cash: $131 (284% of Medicare)
Ins. Median: $49 (106% 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 |
|---|---|---|
| Central Valley Medical Providers | $41 - $115 | 89% |
| Community Care | $42 | 91% |
| Blue Shield | $45 - $408 | 98% |
| Advantek Table Mountain Rancheria Tribal Member | $49 | 106% |
| Aetna | $49 - $117 | 106% |
| Blue Cross Blue Shield | $49 - $104 | 106% |
| Blue Shield 65 Plus Hmo Ehs | $49 | 106% |
| Blue Shield 65 Plus Hmo First Choice | $49 | 106% |
| Blue Shield Hmo-Cvmp/Medpro | $49 | 106% |
| Blue Shield Promise - Imperial | $49 | 106% |
| Blue Shield Saint Agnes | $49 | 106% |
| Blue Shield Sante | $49 | 106% |
| Brand New Day | $49 | 106% |
| Bscphp - Dhmso | $49 | 106% |
| Bscphp - First Choice | $49 | 106% |
| Bscphp Hmo - First Choice | $49 | 106% |
| Care1St Hmo - Ehs | $49 | 106% |
| Cares Act Provider Relief Fund | $49 | 106% |
| Cigna | $49 - $419 | 106% |
| Gemcare Hmo | $49 | 106% |
| Generic | $49 | 106% |
| Generic Bscphp | $49 | 106% |
| Generic Victims Of Crime | $49 | 106% |
| Hartford Life Supplement | $49 | 106% |
| Healthnet Hmo - Cvmp/Medpro | $49 | 106% |
| Healthnet Hmo - Dhmso | $49 | 106% |
| Healthnet Hmo - La Salle | $49 | 106% |
| Healthnet Hmo - Sante | $49 | 106% |
| Healthnet Sante | $49 | 106% |
| Healthnet Sante - Sub Cap Dual Risk | $49 | 106% |
| Healthnet Sante Dual Risk | $49 | 106% |
| Humana | $49 - $139 | 106% |
| Kaiser | $49 | 106% |
| Medi-Cal Innovative Integrated Health | $49 | 106% |
| Medicare (plans) | $49 | 106% |
| Meritage Blue Shield 65 Plus | $49 | 106% |
| Meritage Brand New Day | $49 | 106% |
| Meritage Healthnet Hmo | $49 | 106% |
| Railroad Part A | $49 | 106% |
| Railroad Part A & B | $49 | 106% |
| Railroad Part B | $49 | 106% |
| Sante | $49 | 106% |
| Sante Sub Cap Healthnet Seniority | $49 | 106% |
| Sante Sub Cap-Blue Shield/Sante | $49 | 106% |
| Sante-Blue Shield/Sante | $49 | 106% |
| Sante-Healthnet Seniority | $49 | 106% |
| Sante-Sub Cap Ma Brand New Day | $49 | 106% |
| Scan Health Plan | $49 | 106% |
| Sequoia Pace - Peak Tpa | $49 | 106% |
| Todays Pyramid | $49 | 106% |
| UnitedHealthcare | $49 - $377 | 106% |
| Us Marshal | $49 | 106% |
| Victims Of Crime | $49 | 106% |
| Well Path (Cfmg) | $49 - $180 | 106% |
| Wellcare | $49 | 106% |
| Alignment Health Plan | $54 | 117% |
| Champion Health Plan Of California Ma | $54 | 117% |
| Innovative Integrated Health Community Plans Hmo | $54 | 117% |
| Imperial Health Plan Hmo | $56 | 122% |
| Correctcare Integrated Health | $64 | 139% |
| Employer 90/40 | $66 | 143% |
| Central Ca Indian Health | $90 | 195% |
| Nx Health Network Ppo | $90 | 195% |
| Coalinga State Hospital | $98 | 213% |
| Naphcare Inc-Mendota | $105 | 228% |
| Healthsmart | $112 - $131 | 243% |
| Coventry Health Care (First Health Network) | $123 | 267% |
| Network By Design | $123 | 267% |
| Generic Multiplan | $139 | 302% |
| Phcs | $139 | 302% |
| Physmetrics Health | $285 | 618% |
| Healthnet | $353 - $372 | 766% |