Orthotic fitting and training
Facility: Adventist Health Delano
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $97
- Cash Discount Price: $28
- vs. Medicare Baseline: 2.10x 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 210% of the Medicare baseline (a markup of 110%). 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 |
|---|---|---|
| Blue Shield Epn - All Other Plans | $30 | 65% |
| Bakersfield Fam Med Grp-All Plans | $49 | 106% |
| Healthnet Mcr Adv | $49 | 106% |
| Kern Mcr Adv Dual Dnsp-All Other Plans | $49 | 106% |
| Medicare (plans) | $49 - $79 | 106% |
| Tricare | $49 | 106% |
| UnitedHealthcare | $49 - $100 | 106% |
| Universal Care Mcr- All Other Plans | $49 | 106% |
| Healthnet- All Other Plans | $74 | 161% |
| Coventry- All Plans | $83 | 180% |
| Kaiser Comm Ip/Op Only- All Other Plans | $84 | 182% |
| Ah Employee Health Plan - All Plans | $88 | 191% |
| County Of Kern Network - All Plans | $97 | 210% |
| Gem Care- All Plans | $97 | 210% |
| Aetna | $103 | 223% |
| Foundation For Medical Care Of Kern County - All P | $104 | 226% |
| Centivo - All Plans | $110 | 239% |
| Cigna | $111 | 241% |
| Western Growers - All Plans | $113 | 245% |
| Blue Cross Blue Shield | $116 | 252% |
| Dignty Hlth Mcal Op Only | $139 | 302% |
| Kaiser Medi-Cal Ip/Op Only | $139 | 302% |
| Medi-Cal | $139 | 302% |
| Universal Care Mcal | $139 | 302% |
| Healthnet Medi-Cal | $166 | 360% |
| Kern Health System Mcal | $179 | 388% |
| Blue Shield Non-Epn | $262 | 568% |