CMS Price Transparency Data

Orthotic fitting and training

Facility: Centinela Hospital Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $59
Cash Discount Price: $51
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Centinela Hospital Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.28x the Medicare baseline. Located in 555 East Hardy Street, Inglewood, CA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $51 (111%)

Insurance Median: $59 (128%)

Cash: $51 (111% of Medicare)

Ins. Median: $59 (128% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Access Medical Group	$52 - $78	113%
Aids Healthcare Foundation	$52 - $53	113%
Avanti Hospitals, Llc	$52	113%
Axminster Medical Group	$52 - $78	113%
Blue Shield Of Ca Triwest Healthcare Ccn	$52	113%
Brand New Day	$52 - $78	113%
Health Net Of Ca	$52 - $76	113%
Kindred Hospital La	$52	113%
L.A Care Health Plan	$52	113%
Medicare (plans)	$52	113%
Molina	$52	113%
Renal Payer Solutions	$52	113%
Tricare	$52	113%
Welbe Health Pace	$52	113%
Imperial Health Plan	$55	119%
Aetna	$59 - $66	128%
Americas Choice Provider Network	$59 - $68	128%
Centinela Valley Ipa	$59 - $90	128%
Corvel	$59 - $68	128%
Employer Direct Healthcare	$59 - $73	128%
Healthsmart Preferred Network	$59 - $68	128%
Multiplan	$59 - $68	128%
Naphcare	$59 - $81	128%
Occunet	$59 - $104	128%
Premier Physicians Network	$59 - $90	128%
Prime Health Services	$59 - $68	128%
Provider Network Of America	$59 - $68	128%
Provider Select	$59 - $68	128%
Three Rivers Provider Network	$59 - $68	128%
Worker Compensation	$59 - $68	128%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $51.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centinela Hospital Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.