Orthotic fitting and training
Facility: Cheyenne County Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $58
- Cash Discount Price: $61
- vs. Medicare Baseline: 1.26x 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 | $39 | 85% |
| First Health - All Plans | $43 | 93% |
| Aetna | $44 - $58 | 95% |
| Healthy Blue Mcr Adv | $44 | 95% |
| Choice Care - All Plans | $44 | 95% |
| UnitedHealthcare | $44 - $230 | 95% |
| Tricare | $44 | 95% |
| Firstguard - All Plans | $49 | 106% |
| Wppa - All Plans | $55 | 119% |
| Preferred Hc - All Plans | $58 | 126% |
| Cpm - All Plans | $58 | 126% |
| Midlands Choice - All Plans | $59 | 128% |
| Ppo Next - All Plans | $60 | 130% |
| Integrated Hp - All Plans | $60 | 130% |
| Unicare - All Plans | $60 | 130% |
| Health Partners - All Plans | $60 | 130% |
| Childrens Mercy - All Plans | $61 | 132% |
| Healthy Blue Mcaid - All Other Plans | $61 | 132% |
| Healthwave Mcaid - All Plans | $61 | 132% |
| Providers Care-All Plans | $92 | 200% |
Consumer Guidance & Cost Commentary
For CPT code 97760, "Orthotic fitting and training," Cheyenne County Hospital in St. Francis, KS, lists a cash price of $61.00, which matches the facility's gross charge and the state median. This rate is significantly higher than the national average, with the cash price being 1.3 times the Medicare benchmark of $46.09. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $44 to $230, these negotiated amounts often exceed the cash price. For patients with high-deductible plans, paying the cash rate of $61.00 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount could result in higher out-of-pocket costs once deductibles are met.
Patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. If you choose to use insurance, be aware that balance billing could occur if you receive care from out-of-network providers, though the No Surprises Act protects you from surprise bills for emergency services and non-emergency care at in-network facilities. To ensure accuracy, always request a full itemized bill that lists specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled charges that can be disputed in writing.