CMS Price Transparency Data

Orthotic fitting and training

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $86
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Southeast Georgia Health System -- Camden Campus is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.87x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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%)

Insurance Median: $86 (187%)

Ins. Median: $86 (187% 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
Blue Cross Blue Shield	$44 - $86	95%
Caresource	$44 - $66	95%
Humana	$44 - $108	95%
UnitedHealthcare	$44	95%
United_Healthcare_Veterans_Administration	$44	95%
Aetna	$45 - $103	98%
Clover_Health	$45	98%
Devoted_Health	$46	100%
Pruitthealth	$46	100%
Ambetter / Centene	$70	152%
Sea_Island	$86	187%
Sghs_Meritain	$86	187%
Coventryone_Hix	$92	200%
United_Healthcare	$94	204%
Medishare	$103	223%
Choicecare	$108	234%
Cigna	$108	234%
Industry_Buying_Group_Ibg	$108	234%
First_Health_Southcare	$109	236%
One_Health_Great_West	$109	236%
Pponext	$115	250%

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 $X.
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 Southeast Georgia Health System -- Camden Campus 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.