Orthotic fitting and training
Facility: Menorah Medical Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $53
- Cash Discount Price: $203
- vs. Medicare Baseline: 1.15x 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 | $17 - $124 | 37% |
| Ambetter / Centene | $24 - $51 | 52% |
| Oscar | $25 - $52 | 54% |
| Nhc Advantage | $25 - $52 | 54% |
| Wppa Providrs Care Network | $26 - $55 | 56% |
| Healthyblue | $26 - $55 | 56% |
| United | $33 - $124 | 72% |
| Aetna | $34 - $141 | 74% |
| Coventry | $38 - $111 | 82% |
| Devoted Health | $38 - $43 | 82% |
| Humana | $38 - $99 | 82% |
| Celtic | $39 - $44 | 85% |
| Wellcare | $39 - $44 | 85% |
| Cigna | $39 - $221 | 85% |
| Pyramid Life | $41 - $46 | 89% |
| Home State Health Plan | $42 | 91% |
| Triwest Health Alliance | $43 | 93% |
| Universal Healthcare | $46 - $97 | 100% |
| Multiplan | $50 - $204 | 108% |
| Coventry Kc Mo | $54 - $113 | 117% |
| College Park Family Care Center | $56 - $119 | 122% |
| Corvel Corporation | $60 - $179 | 130% |
| Oha Network | $62 - $138 | 135% |
| Focus Healthcare Mgmt, Inc | $98 - $207 | 213% |
| Cco, Inc. | $98 - $207 | 213% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, "Orthotic fitting and training," Menorah Medical Center in Overland Park, KS, lists a cash price of $203.00. This cash rate is significantly higher than the state average, which is $46.09 (Medicare amount). While commercial insurance plans like Blue Cross Blue Shield and Aetna negotiate rates ranging from $17 to $141, these negotiated amounts often exceed the cash price. For patients with high-deductible plans or those without current coverage, paying the cash price of $203.00 upfront may be more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible is not yet met.
Patients should verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total cost. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur from ancillary services or if a patient inadvertently accepts a summary bill. To ensure accuracy, consumers should request a full itemized CPT-coded bill rather than a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Disputing these errors in writing is the most effective way to reduce medical debt and avoid surprise charges.