Orthotic fitting and training
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $43
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Vc Hope | $43 | 93% |
| Saint Lukes Health Systems | $43 | 93% |
| Via Christi Research | $43 | 93% |
| Medicare (plans) | $43 - $44 | 93% |
| Humana | $43 | 93% |
| Va | $43 | 93% |
| UnitedHealthcare | $44 - $120 | 95% |
| Blue Cross Blue Shield | $44 | 95% |
| Corizon | $54 | 117% |
| Smarthealth | $60 | 130% |
| Mdsave | $70 | 152% |
| Medicaid / KanCare | $73 | 158% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the negotiated rates at Ascension Via Christi Hospitals Wichita, Inc. range from $43 to $120 across 12 different payers, with a median negotiated amount of $43.00. This facility is located in Wichita, Kansas (ZIP 67214), and its pricing aligns closely with the state average, as the median negotiated rate is identical to the reported state benchmark. While some commercial plans like UnitedHealthcare show a wider range of $44 to $120, the majority of payers, including Medicare, Humana, and Va, cluster around the $43 to $44 mark. It is important to note that while insurance contracts set a ceiling on what providers can charge, these negotiated rates often include administrative overheads that can make them higher than the actual cost of care.
Patients should be aware that cash-pay options may offer a lower price point than the insurance negotiated rates, particularly if you have a high-deductible plan where the insurance allowed amount exceeds the cash price. Although the data does not list a specific cash median, facilities frequently offer prompt-pay discounts of 20% to 50% for upfront payments, which can bypass the administrative costs associated with insurance billing. Before scheduling, it is recommended to explicitly request self-pay or prompt-pay rates and consider signing a waiver of insurance submission to ensure the cash discount applies. Additionally, since over 80% of hospital bills contain errors, patients should always request a detailed, itemized bill to verify that all charges are accurate before making any payment.