CMS Price Transparency Data

Orthotic fitting and training

Facility: University of Illinois Hospital and Clinics

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $55
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at University of Illinois Hospital and Clinics is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.19x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $121 (263%)
Insurance Median: $55 (119%)
Cash: $121 (263% of Medicare)
Ins. Median: $55 (119% 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
United $34 - $47 74%
Campus Care $35 - $71 76%
Molina $38 - $55 82%
Aetna $39 - $55 85%
Coventry $39 - $47 85%
St Anthony Health Network $43 93%
Franciscan Hammond Clinic Llc $44 95%
Blue Cross Blue Shield $45 - $71 98%
Caterpillar $45 98%
Humboldt Park Health Partners $45 98%
Physician Care Network Inc $45 98%
Physicians Health Association Of Il $45 98%
Resurrection Phys Provider Group $45 98%
Health Alliance $47 - $64 102%
Longevity Health Plan $47 102%
Sinai Medical Group $47 102%
UnitedHealthcare $47 102%
Clear Springs Health $48 104%
Zing Health $48 104%
Village Md $49 - $59 106%
Wellcare $49 106%
Uic Physician Group $52 113%
County Care Health Plan $55 119%
Meridian $55 119%
Youthcare Healthchoice $55 119%
Union Health Service $56 122%
Dolton Medical Associates $59 128%
Mac Neal Health Providers $59 128%
Mercy Physician Association $59 128%
Unified Physicians Network $59 128%
West Suburban Health Providers $59 128%
Equian $61 132%
Lake County Physician Associates $61 132%
Multiplan $61 - $99 132%
Northshore Physician Association $61 132%
Northwest Primary Care Alliance $61 132%
Southwest Physician Group Ltd $61 132%
Zelis $61 132%
Valenz $63 137%
Fox Valey Medicine Ltd $64 139%
Oak West Primary Care Alliance $64 139%
Integrated Health Plan $67 145%
Healthsmart $71 154%
The Alliance $71 154%
Healthlink $74 - $2,385 161%
Cigna $76 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals