Orthotic fitting and training
Facility: Kansas City Orthopaedic Institute
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $106
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.30x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 230% of the Medicare baseline (a markup of 130%). 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 |
|---|---|---|
| Cigna | $60 - $125 | 130% |
| Aetna | $61 | 132% |
| UnitedHealthcare | $61 - $124 | 132% |
| Blue Cross Blue Shield | $66 - $124 | 143% |
| Medica | $172 | 373% |
Consumer Guidance & Cost Commentary
For the orthotic fitting and training service (CPT 97760) at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $60 to $172 across five major payers, with a median negotiated amount of $106. This commercial rate is significantly higher than the Medicare benchmark of $46.09, reflecting a markup of 2.3 times the federal baseline. While the facility is owned by a physician group and located in an acute care hospital setting, the specific cash-pay and median paid values for this service are not currently available in the transparency data. Patients should note that while cash payments can sometimes be cheaper for those with high-deductible plans, the lack of published cash rates here means the negotiated insurance amount may be the most predictable cost, though it is important to verify if the facility offers self-pay or prompt-pay discounts before scheduling.
When reviewing this bill, consumers should avoid accepting summary invoices that obscure individual line items, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Instead, requesting a full itemized CPT-coded statement is the most effective way to identify double-billing or charges for supplies that were never delivered. Additionally, since the facility is in-network, patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected ancillary services could still trigger additional charges if not carefully reviewed. To minimize financial risk, patients are encouraged to check their deductible status before receiving care and to formally dispute any errors via certified mail rather than relying on verbal assurances from billing staff.