CMS Price Transparency Data

Orthotic fitting and training

Facility: Sky Ridge Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $85
  • Cash Discount Price: $512
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Sky Ridge Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.84x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$512

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $512 (1111%)
Insurance Median: $85 (184%)
Cash: $512 (1111% of Medicare)
Ins. Median: $85 (184% 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
Aetna $42 - $317 91%
Blue Cross Blue Shield $42 - $445 91%
Bright Health $42 - $180 91%
Cigna $42 - $385 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 - $271 91%
Innovage Pace $43 - $49 93%
Kaiser $43 - $213 93%
Delaware Life Insurance $44 - $50 95%
Wellcare $44 - $50 95%
Vail Health $64 - $91 139%
Western Plains Community Health $275 - $391 597%
Multiplan $296 - $541 642%
Northcare $296 - $421 642%
Physician Health Partners $296 - $421 642%
Pinnacol Workers Comp $317 - $451 688%
Medical Development International $338 - $481 733%
Prime Health $381 - $541 827%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals