Orthotic fitting and training
Facility: University Of Kansas Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $110
- Cash Discount Price: $47
- vs. Medicare Baseline: 2.39x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 239% of the Medicare baseline (a markup of 139%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Alt Cenpatico Ks Mcaid Behavioral [503201518] | $33 - $83 | 72% |
| Larned State Hospital [503200090] | $39 - $98 | 85% |
| Lasso Healthcare [503999926] | $43 | 93% |
| Workers Comp [503999901] | $43 - $316 | 93% |
| UnitedHealthcare | $43 - $256 | 93% |
| Humana | $43 - $44 | 93% |
| Aetna | $43 - $225 | 93% |
| Medicare (plans) | $43 - $44 | 93% |
| Ku Athletics [503200094] | $43 | 93% |
| Devoted [503200068] | $43 | 93% |
| Agency [50311255] | $43 | 93% |
| Blue Cross Blue Shield | $44 - $256 | 95% |
| Allwell [503200078] | $44 | 95% |
| American Health Plans [503200968] | $45 | 98% |
| Oscar [503201609] | $52 | 113% |
| Centurion [5032000966] | $56 | 122% |
| Health Plan Inc [503999941] | $63 - $157 | 137% |
| Alt Carelon Behavioral Health [503200905] | $66 - $166 | 143% |
| Accarent Health [503999034] | $66 - $166 | 143% |
| Coresource [503200089] | $69 - $172 | 150% |
| Meritain Health [503200039] | $69 - $280 | 150% |
| Coventry [503200022] | $69 - $225 | 150% |
| Ambetter / Centene | $73 | 158% |
| Php [503200005] | $80 - $246 | 174% |
| Allied National [503999937] | $80 - $200 | 174% |
| Geha [503200036] | $81 - $256 | 176% |
| Inter-Americas Insurance [503999032] | $81 - $202 | 176% |
| Cerner [503200038] | $81 - $202 | 176% |
| Alt Wppa [5032000964] | $81 - $202 | 176% |
| Med-Pay [503200040] | $81 - $202 | 176% |
| Healthlink [503200007] | $81 - $246 | 176% |
| Centivo [5032000982] | $82 | 178% |
| Wellfit [503301514] | $82 | 178% |
| 6 Degrees Health [503999050] | $84 - $108 | 182% |
| Aha-Healthcare Preferred [503200050] | $88 - $219 | 191% |
| First Health [5032000110] | $88 - $219 | 191% |
| Occunet [503999930] | $90 | 195% |
| Fort Hays State Student Athletes [5032000960] | $90 | 195% |
| Alt Meritain Health [503999911] | $90 - $225 | 195% |
| Correct Care Solutions [50311253] | $93 - $233 | 202% |
| Coeur Plan Services [503301517] | $93 - $233 | 202% |
| Consolidated Billing [50311256] | $93 - $233 | 202% |
| Ascension Living Hope [503201517] | $93 - $233 | 202% |
| Orscheln Industries [503201608] | $100 - $250 | 217% |
| Empire Plan/Nyship [503200705] | $102 - $256 | 221% |
| Alt Lucent Health Solutions [503202603] | $102 - $256 | 221% |
| Alt Lineco [5032000976] | $102 - $256 | 221% |
| Century Health Solutions [503200054] | $106 - $266 | 230% |
| Cigna | $106 - $338 | 230% |
| Point Comfort Underwriters [503200018] | $106 - $266 | 230% |
| Quiktrip [5032000412] | $106 - $266 | 230% |
| Wppa [503200056] | $112 - $280 | 243% |
| Claimdoc [503301509] | $116 | 252% |
| Multiplan [503200057] | $116 | 252% |
| Employers Health Network [503999025] | $120 - $300 | 260% |
| Sanford Health Plan [503999027] | $120 - $300 | 260% |
| Usa Managed Care [503999030] | $120 - $300 | 260% |
| Three Rivers Provider Network [503999029] | $120 - $300 | 260% |
| Plan Care America [503999026] | $120 - $300 | 260% |
| Advanced Medical Pricing Solutions [503301513] | $129 | 280% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 282% |
| Medica [503200074] | $216 - $256 | 469% |
| National Assn Letter Carriers [503200019] | $338 | 733% |
Consumer Guidance & Cost Commentary
University Of Kansas Hospital, located at 4000 Cambridge Street in Kansas City, KS, offers a cash median rate of $47 for CPT code 97760, Orthotic fitting and training. While the facility's gross charge is $233, the median negotiated rate across 63 payers is $110, and the median paid amount is $65. These commercial rates are significantly higher than the Medicare amount of $46.09, which serves as a federal benchmark for the true cost of care. Because the cash price of $47 is lower than both the negotiated and Medicare rates, patients with high-deductible plans or those paying out-of-pocket may find it financially advantageous to pay the cash rate directly, provided they do not have insurance coverage that would otherwise apply.
For patients relying on insurance, the price variation is substantial, with negotiated rates ranging from a low of $33 to a high of $338 depending on the specific payer and plan. Notable payers include Cigna, which has a high rate of $338, and UnitedHealthcare, which has a high rate of $256. Since balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, patients should verify their network status and request itemized billing audits if they receive unexpected charges. Additionally, patients should inquire about prompt-pay discounts or self-pay rates before scheduling, as paying upfront can sometimes reduce the final bill compared to the standard negotiated amounts.