CMS Price Transparency Data
Orthotic fitting and training
Facility: Anaheim Global Medical Center
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $68
- Cash Discount Price: $129
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Anaheim Global Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.48x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$129
Average discount available for prompt cash payment at this facility.
Insurance Median
$68
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: $129 (280%)
Insurance Median: $68 (148%)
Cash: $129 (280% of Medicare)
Ins. Median: $68 (148% 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 |
|---|---|---|
| Altamed | $26 - $52 | 56% |
| Ihhi Reciprocity | $26 - $51 | 56% |
| Altamed Mcal Hmo (Ancillary) | $31 - $59 | 67% |
| Velocity National Provider Network Auto Med Ppo | $40 - $76 | 87% |
| Velocity National Provider Network Wc | $40 - $76 | 87% |
| First Health | $46 - $89 | 100% |
| Aetna | $48 - $93 | 104% |
| Altamed Health Services | $49 - $52 | 106% |
| Champus | $49 | 106% |
| Astiva | $52 | 113% |
| Blue Shield Of California | $52 - $198 | 113% |
| California Health Plan | $52 | 113% |
| Caloptima | $52 | 113% |
| Central Health Plan Of California Inc | $52 | 113% |
| Champion Health Plan | $52 | 113% |
| Choice Physicians Network | $52 | 113% |
| Citizens Choice | $52 | 113% |
| Clever Care Health Plan | $52 | 113% |
| Easy Choice | $52 | 113% |
| For Your Benefit | $52 | 113% |
| Health Net Inc | $52 - $117 | 113% |
| Healthcare Partners Sr Hmo | $52 | 113% |
| Heritage Provider Network | $52 - $101 | 113% |
| Hollywood Presbyerian | $52 | 113% |
| Humana | $52 | 113% |
| Imperial Health Plan Of Ca | $52 | 113% |
| Innovative Integrated Health | $52 | 113% |
| Kaiser | $52 - $104 | 113% |
| Medcare Partners Health Plan | $52 | 113% |
| Medicare (plans) | $52 | 113% |
| Monarch | $52 | 113% |
| Onecare | $52 | 113% |
| Other Sr Non Contract | $52 | 113% |
| Physicians For Healthy Hospitals | $52 | 113% |
| Prospect Health Plan | $52 - $78 | 113% |
| Scan | $52 | 113% |
| Self Pay/Ab774/Cbo Use Only | $52 | 113% |
| St Joseph Hospital Sr | $52 | 113% |
| UnitedHealthcare | $52 - $220 | 113% |
| Us Dept Of Labor | $52 | 113% |
| Us Federal Marshall/Department Of Immigration | $52 | 113% |
| Velocity National Provider Network Sr | $52 | 113% |
| Verda Health Plan | $52 | 113% |
| Veterans Administration | $52 | 113% |
| Victim Of Violent Crime | $52 | 113% |
| Victim Of Violent Crime (Mep) | $52 | 113% |
| Victoria Hospice | $52 | 113% |
| Magellan Behavioral Health | $53 - $101 | 115% |
| Primecare Medical Network Inc | $53 - $101 | 115% |
| Healthcare Partners Hmo | $56 | 122% |
| Cigna | $57 - $315 | 124% |
| Align Sr Care | $58 | 126% |
| Brand New Day | $58 - $65 | 126% |
| Prime Health Services | $60 - $144 | 130% |
| Health Net | $61 - $123 | 132% |
| Multiplan | $62 - $118 | 135% |
| Networks By Design | $62 - $118 | 135% |
| County Of Orange | $65 - $169 | 141% |
| Veterans Evaluation Services | $65 | 141% |
| Healthsmart Preferred Network | $66 - $127 | 143% |
| Interplan | $66 - $127 | 143% |
| Provider Network Of America | $70 - $135 | 152% |
| Staywell/Island Home Ins | $73 | 158% |
| Naphcare | $81 | 176% |
| Ahmc Healthcare | $88 - $169 | 191% |
| Lucet Bh Scan Sr | $88 - $169 | 191% |
| Managed Health Network | $88 - $169 | 191% |
| Other Insurance Loa | $88 - $169 | 191% |
| Other Non Contracted Plans | $88 - $169 | 191% |
| Private Pay | $88 - $169 | 191% |
| State Of California | $88 - $169 | 191% |
| Usbhpc | $88 - $169 | 191% |
| Three Rivers Network | $91 | 197% |
| Velocity National Provider Network Ppo | $91 | 197% |
| Monarch Health Plan | $142 - $179 | 308% |