CMS Price Transparency Data

Orthotic fitting and training

Facility: Fairview Park Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $45
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Fairview Park Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $305 (662%)
Insurance Median: $45 (98%)
Cash: $305 (662% of Medicare)
Ins. Median: $45 (98% 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
Health Net $37 - $42 80%
Aetna $38 - $168 82%
Devoted Health $38 - $43 82%
Healthspring $38 - $43 82%
Hospice Care Options $38 - $43 82%
Humana $38 - $43 82%
Southern Care Birmingham $38 - $43 82%
United $38 - $137 82%
Blue Cross Blue Shield $39 - $44 85%
Coventry $39 - $44 85%
Wellcare $39 - $61 85%
Clover $40 - $45 87%
Eon Health $40 - $45 87%
Georgia Assurance $40 - $45 87%
Shared Health $40 - $45 87%
Amerigroup $41 89%
Ambetter / Centene $45 98%
Friday Health $46 100%
Ryan White Care Act $57 - $65 124%
Nhc Advantage $58 126%
Pruitt Health $58 126%
Peach State $61 132%
Memorial Health Plan $67 - $137 145%
Cigna $83 - $111 180%
Centurion $84 182%
Americas 1St Choice $85 184%
Leavitt Risk Partners $92 200%
Health One Alliance $140 304%
Dodge County Hospital $152 330%
American Steel Products $259 562%
City Of Eastman $259 562%
Dodge Co Board Of Commissioners $259 562%
Graham Brothers Construction $259 562%
Multiplan $274 594%
Novanet $274 594%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Industrial Boulevard, Dublin, GA 31021
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals