CMS Price Transparency Data

Orthotic fitting and training

Facility: St Luke's Nampa Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $91
Cash Discount Price: $114
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at St Luke's Nampa Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.97x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $114 (247%)

Insurance Median: $91 (197%)

Cash: $114 (247% of Medicare)

Ins. Median: $91 (197% 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	$46 - $93	100%
Blue Cross Blue Shield	$73 - $116	158%
Commercial [1028]	$73 - $116	158%
Mountain Health Co-Op [1067]	$73 - $74	158%
Pacificsource [1020]	$73 - $86	158%
Select Health [1063]	$73 - $116	158%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$73 - $116	158%
St Lukes Health Plan [1046]	$73 - $116	158%
Aetna	$91 - $103	197%
Cigna	$91	197%
Providence [1022]	$91	197%
Webtpa [1071]	$91 - $97	197%
Geha [1065]	$93	202%
United Medical Resources [1051]	$93	202%
First Health [1064]	$94 - $97	204%
Moda [1055]	$100	217%
Regence [1005]	$109 - $114	236%
Blue Shield Alt [100401]	$114	247%
Regence Out Of State [1004]	$114	247%

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 $114.
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 St Luke's Nampa 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.