CMS Price Transparency Data

Orthotic fitting and training

Facility: Iowa Specialty Hospital - Belmond

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $90
Cash Discount Price: $128
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Iowa Specialty Hospital - Belmond is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.95x the Medicare baseline. Located in 403 First Street Se, Belmond, IA.

Cash / Self-Pay

$128

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $128 (278%)

Insurance Median: $90 (195%)

Cash: $128 (278% of Medicare)

Ins. Median: $90 (195% 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
UnitedHealthcare	$39 - $245	85%
Aetna	$43 - $266	93%
Tricare	$43 - $90	93%
Triwest Va Choice And Pc3-All Plans	$43 - $90	93%
Cigna	$56 - $272	122%
Midlands Choice-All Plans	$56 - $272	122%
Wellmark Hmo	$57 - $158	124%
Wellmark Ppo-All Other Plans	$57 - $174	124%
Health Partners Ish-All Other Plans	$66 - $224	143%
Healthscope Stellar - All Plans	$72 - $148	156%
Auxiant Clarion Schools-All Plans	$96 - $182	208%
Health Partners Prestage	$111 - $210	241%

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 $128.
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 Iowa Specialty Hospital - Belmond 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.