CMS Price Transparency Data

Orthotic fitting and training

Facility: Terre Haute Regional Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $45
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Terre Haute Regional Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $205 (445%)
Insurance Median: $45 (98%)
Cash: $205 (445% of Medicare)
Ins. Median: $45 (98% 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
Blue Cross Blue Shield $38 - $45 82%
Humana $38 - $45 82%
In State Health (Bccp) $38 - $45 82%
Mdwise Hoosier Alliance $38 - $45 82%
United $38 - $45 82%
United Behavioral Health $38 - $45 82%
Vista Care Hospice $38 - $45 82%
Centurion $40 - $47 87%
American Health Plans $41 - $49 89%
Ambulatory Care Solutions $48 - $56 104%
Naphcare $48 - $56 104%
American Correctional $52 - $61 113%
Molina $53 - $62 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 S Seventh St, Terre Haute, IN 47802
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals