CMS Price Transparency Data

Orthotic fitting and training

Facility: Atrium Health Floyd Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $64
Cash Discount Price: $65
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Atrium Health Floyd Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.39x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $65 (141%)

Insurance Median: $64 (139%)

Cash: $65 (141% of Medicare)

Ins. Median: $64 (139% 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
Amerigroup	$22	48%
Caresource	$22 - $64	48%
Peach State Health Plan	$22	48%
Awc Networks	$25	54%
Oscar Health Plan	$25 - $46	54%
Aetna	$43 - $88	93%
Blue Cross Blue Shield	$43 - $98	93%
Cigna	$43 - $250	93%
Georgia Assurance	$43	93%
Humana	$43 - $84	93%
UnitedHealthcare	$43 - $98	93%
Wellcare	$43	93%
Clover	$44	95%
Alliant Health Plans	$52 - $64	113%
Ambetter / Centene	$64	139%
Beacon	$65	141%
Evernorth	$65	141%
Multiplan	$91	197%
Occunet	$100	217%
Beech Street	$101	219%
Private Health Care Systems	$110	239%

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 $65.
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 Atrium Health Floyd 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.