CMS Price Transparency Data

Orthotic fitting and training

Facility: HCA Healthone Rose

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $67
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at HCA Healthone Rose is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.45x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $259 (562%)
Insurance Median: $67 (145%)
Cash: $259 (562% of Medicare)
Ins. Median: $67 (145% 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
Vail Health $37 - $41 80%
Aetna $42 - $144 91%
Blue Cross Blue Shield $42 - $201 91%
Bright Health $42 - $82 91%
Cigna $42 - $174 91%
Devoted Health $42 - $48 91%
Humana $42 - $48 91%
Mutual Of Omaha $42 - $48 91%
Rocky Mountain Health $42 - $48 91%
Total Longterm Care $42 - $48 91%
Triwest Health Alliance $42 - $48 91%
United $42 - $122 91%
Innovage Pace $43 - $49 93%
Kaiser $43 - $71 93%
Delaware Life Insurance $44 - $50 95%
Wellcare $44 - $50 95%
Colorado Program For Children With Special Needs $109 - $122 236%
Western Plains Community Health $158 - $177 343%
Multiplan $170 - $245 369%
Northcare $170 - $190 369%
Physician Health Partners $170 - $190 369%
Pinnacol Workers Comp $182 - $204 395%
Medical Development International $194 - $218 421%
Rocky Mtn Planned Parenthood $207 - $231 449%
Prime Health $219 - $245 475%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals