Orthotic fitting and training
Facility: Labette Health
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $60
- Cash Discount Price: $57
- vs. Medicare Baseline: 1.30x 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 |
|---|---|---|
| Ambetter / Centene | $20 - $69 | 43% |
| Montgomery County | $27 | 59% |
| Medicaid / KanCare | $37 - $60 | 80% |
| Blue Cross Blue Shield | $40 - $60 | 87% |
| Wellcare | $60 | 130% |
| Humana | $60 | 130% |
| UnitedHealthcare | $60 - $71 | 130% |
| Multiplan | $70 | 152% |
| Choicecare (First Health Network) | $74 | 161% |
| Health Partners Of Kansas, Inc | $74 | 161% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, Labette Health in Parsons, KS, lists a cash median price of $57.00, which is notably lower than the facility's gross charge of $82.00. While the facility is government-owned, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare plans in this network have negotiated rates ranging from $60 to $71, and UnitedHealthcare plans specifically range from $60 to $71, meaning paying cash upfront could result in immediate savings compared to the insurance allowed amount.
When evaluating the cost against broader benchmarks, the facility's cash rate of $57.00 is significantly lower than the state average of $60.00 and the county average of $69.00. However, it is important to note that Medicare rates serve as the objective baseline for fair pricing, standing at $46.09 for this service. Since commercial negotiated rates typically average 200% to 300% of Medicare, patients with high-deductible plans may find that paying the cash price of $57.00 is more cost-effective than relying on insurance, which could result in a higher allowed amount. To maximize savings, patients should verify their specific plan's deductible status and inquire directly with the hospital about prompt-pay discounts or self-pay rates before scheduling.