Orthotic fitting and training
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $70
- Cash Discount Price: $51
- vs. Medicare Baseline: 1.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $70 | 152% |
| Oncology Patient Assistance Programs [2295] | $70 | 152% |
| Web Tpa [2115] | $70 | 152% |
| Black Lung [6055] | $70 | 152% |
| Hooray Health [8000] | $70 | 152% |
| Aetna | $70 | 152% |
| Lucent Health [6000] | $70 | 152% |
| Healthcare Highways [2210] | $70 | 152% |
| Department Of Corrections [1340] | $86 | 187% |
| National Association Of Letter Carriers [1695] | $99 | 215% |
| Healthpartners [1500] | $99 | 215% |
| Cigna | $99 | 215% |
| American Postal Workers Union [1070] | $99 | 215% |
| Humana | $101 | 219% |
| 1199 Seiu Benefit Fund [3505] | $115 | 250% |
| Multiplan [1680] | $133 | 289% |
| First Health [1375] | $133 | 289% |
| Administrative Concepts [1005] | $133 | 289% |
| American Healthcare [1055] | $133 | 289% |
| Coventry Healthcare [1320] | $140 | 304% |
| Ks Disability Determination [6090] | $171 | 371% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, "Orthotic fitting and training," the University Of Kansas Health System - St Francis Campus in Topeka, KS, lists a gross charge of $171.00. This amount aligns exactly with the median paid rate of $171.00 across 21 different payers, including major carriers like Aetna, Humana, and Blue Cross Blue Shield. While the facility offers a cash median rate of $51.00, which is significantly lower than the negotiated rates, patients should be aware that commercial insurance contracts often cap payments at these higher negotiated levels. In many cases, paying the cash price directly can result in substantial savings compared to the amounts insurance plans are contractually obligated to pay, provided the patient's plan allows for self-pay discounts or if the negotiated rate exceeds the cash price.
It is important to understand that the $171.00 figure represents the maximum amount insurers may pay, not necessarily the final cost to the patient. Under federal protections such as the No Surprises Act, balance billing for out-of-network services at in-network facilities is generally prohibited, though patients should still verify their specific plan details regarding deductibles and copays. To minimize costs, consumers are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront. Additionally, patients should request a detailed, itemized bill rather than a summary invoice to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit