CMS Price Transparency Data
Orthotic fitting and training
Facility: Whittier Hospital Medical Center
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $87
- Cash Discount Price: $21
- vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Whittier Hospital Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.89x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$87
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: $21 (46%)
Insurance Median: $87 (189%)
Cash: $21 (46% of Medicare)
Ins. Median: $87 (189% 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 |
|---|---|---|
| Blue Cross Blue Shield | $5 - $293 | 11% |
| Physicians Healthways Medical Corporation | $11 | 24% |
| Physician Healthways | $12 - $22 | 26% |
| Applecare Medical Group | $30 | 65% |
| Ahmc Reciprocity | $36 - $68 | 78% |
| Ahmc Reciprocity Agreement Senior/Commercial | $36 - $68 | 78% |
| Veterans Administration | $36 | 78% |
| Wear And Wood | $36 - $90 | 78% |
| Molina Medical Center | $46 - $88 | 100% |
| Central Health Plan Of California | $48 - $90 | 104% |
| Aetna | $51 - $164 | 111% |
| Aids Healthcare Foundation | $51 | 111% |
| Alignment Health Plan | $51 | 111% |
| Allied Physicians | $51 - $78 | 111% |
| Alta Los Angeles Hospitals Inc | $51 | 111% |
| Alta Med Health Network | $51 | 111% |
| Apa/Aco Inc | $51 | 111% |
| Avanti | $51 - $62 | 111% |
| Beverly Hospital | $51 - $57 | 111% |
| Brand New Day | $51 - $64 | 111% |
| Caloptima | $51 | 111% |
| Central Health Plan | $51 | 111% |
| Easy Choice Health Plan | $51 | 111% |
| Emanate Health | $51 - $64 | 111% |
| Health Net | $51 - $135 | 111% |
| Heritage Provider Network | $51 - $70 | 111% |
| Humana | $51 | 111% |
| Kaiser Foundation | $51 - $182 | 111% |
| La Care Health Plan | $51 - $124 | 111% |
| Medicare (plans) | $51 - $54 | 111% |
| Pacificare Of California | $51 | 111% |
| Prospect Health Plan | $51 - $83 | 111% |
| Scan Health Plan | $51 | 111% |
| Blue Shield Of California | $52 - $433 | 113% |
| Caremore | $52 | 113% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $52 | 113% |
| La Care Covered Direct | $52 | 113% |
| Pacific Alliance Medical Center | $52 | 113% |
| Private Pay | $52 | 113% |
| Self-Pay | $52 | 113% |
| Synermed | $52 | 113% |
| Tricare | $52 | 113% |
| Molina Healthcare Of California | $54 | 117% |
| San Miguel Health Plan | $57 | 124% |
| UnitedHealthcare | $57 - $267 | 124% |
| Capnet | $60 | 130% |
| Pacific Independent Physician Association | $60 | 130% |
| Chinatown Service Center Pace | $62 | 135% |
| Ahmc Health | $65 | 141% |
| Edward Medical Group | $65 | 141% |
| Knox-Keene Act | $65 | 141% |
| Prospect Medical | $65 - $124 | 141% |
| Allied Physicians Ipa | $69 | 150% |
| Care 1St Health Plan | $71 - $135 | 154% |
| New Horizon Medical Group Inc | $71 - $135 | 154% |
| Cost Containment | $77 - $146 | 167% |
| Universal Care | $77 - $158 | 167% |
| Asi/Flex | $83 - $158 | 180% |
| Us Comp Care | $83 - $158 | 180% |
| Value Healthplan Of California | $83 - $158 | 180% |
| Community Care Network | $89 - $169 | 193% |
| Coventry Health Care | $89 - $169 | 193% |
| Coventry Health Care National Network | $89 - $169 | 193% |
| Fmc Los Angeles County | $89 - $169 | 193% |
| Interplan Corporation | $89 - $169 | 193% |
| Interplan Health Group | $89 - $169 | 193% |
| Managed Care Administrators | $89 - $169 | 193% |
| Prohealth | $89 - $169 | 193% |
| Davita Healthcare Partners | $94 | 204% |
| Multiplan | $101 - $191 | 219% |
| Cigna | $119 - $225 | 258% |
| Commercial Non Contract | $119 - $225 | 258% |
| Medi-Cal Sub Acute | $119 - $225 | 258% |
| One Legacy | $119 - $225 | 258% |
| Health Net Inc | $127 - $135 | 276% |
| Healthnet | $156 - $234 | 338% |
| Great-West Healthcare Of California | $2,500 | 5424% |