Orthotic fitting and training
Facility: Overland Park Reg Med Ctr
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $79
- Cash Discount Price: $425
- vs. Medicare Baseline: 1.71x 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 |
|---|---|---|
| Coventry | $38 - $171 | 82% |
| United | $38 - $191 | 82% |
| Humana | $38 - $99 | 82% |
| Devoted Health | $38 - $43 | 82% |
| Blue Cross Blue Shield | $38 - $183 | 82% |
| Cigna | $39 - $44 | 85% |
| Wellcare | $39 - $44 | 85% |
| Celtic | $39 - $44 | 85% |
| Pyramid Life | $41 - $46 | 89% |
| Home State Health Plan | $42 | 91% |
| Triwest Health Alliance | $43 | 93% |
| Multiplan | $50 - $315 | 108% |
| Corvel Corporation | $60 - $276 | 130% |
| Oha Network | $62 - $213 | 135% |
| Ambetter / Centene | $79 | 171% |
| Nhc Advantage | $81 | 176% |
| Oscar | $81 | 176% |
| Wppa Providrs Care Network | $85 | 184% |
| Healthyblue | $85 | 184% |
| Aetna | $128 - $217 | 278% |
| Universal Healthcare | $149 | 323% |
| Coventry Kc Mo | $174 | 378% |
| College Park Family Care Center | $183 | 397% |
| Focus Healthcare Mgmt, Inc | $319 | 692% |
| Cco, Inc. | $319 | 692% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the facility's cash median rate is $425.00. This cash price is notably higher than the state of Kansas average, which is approximately $46.09 based on Medicare benchmarks. While commercial insurance plans like Coventry and United offer negotiated rates ranging from $38 to $191, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can result in lower out-of-pocket costs compared to the administrative overhead and negotiated markups embedded in insurance payments. Patients are encouraged to verify their specific plan's allowed amount before scheduling, as some in-network rates may be inflated by administrative processing fees that do not reflect the true cost of care.
It is important to note that the facility's cash rate of $425.00 is significantly lower than the highest negotiated rates found in the data, such as the $319 rate charged by Focus Healthcare Mgmt, Inc. and Cco, Inc., which appear to be outliers or specific administrative fees rather than standard service rates. For most patients, the most cost-effective strategy is to inquire about "self-pay" or "prompt-pay" discounts directly with the hospital prior to check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you receive a bill that includes charges for services not rendered or unbundled codes, you should request a full itemized audit to identify errors, as over 80% of hospital bills contain discrepancies. Always dispute any unexpected balance billing in writing, citing the No Surprises Act protections, rather than accepting