CMS Price Transparency Data

Orthotic fitting and training

Facility: Rush University Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $78
Cash Discount Price: $79
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Rush University Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.69x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $79 (171%)

Insurance Median: $78 (169%)

Cash: $79 (171% of Medicare)

Ins. Median: $78 (169% 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	$33 - $157	72%
County Care Mcaid - All Plans	$45	98%
Meridian Mcaid - All Other Plans	$45	98%
Cigna	$47 - $157	102%
Aetna	$48 - $157	104%
Molina Mcaid	$48	104%
Meridian Dnsp	$49	106%
Molina Fide-Snp	$49	106%
Ambetter / Centene	$63	137%
Molina Exch - All Other Plans	$64	139%
UnitedHealthcare	$89 - $212	193%
Devoted Mcr Adv - All Plans	$157	341%
Humana	$157	341%
Wellcare Mcr Adv - All Plans	$157	341%
Zing Hlth Mcr Adv - All Plans	$166	360%

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 $79.
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 Rush University 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.