Orthotic fitting and training
Facility: Meade District Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $52
- Cash Discount Price: $64
- vs. Medicare Baseline: 1.13x 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 | $52 | 113% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training at Meade District Hospital in Meade, Kansas, the cash price is $64.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a ratio of 1.1 compared to the Medicare benchmark of $46.09. While the facility is a Critical Access Hospital owned by the Government - Hospital District or Authority, the negotiated rate for Blue Cross Blue Shield is $52.00. Because this negotiated amount is lower than the cash price, patients with high-deductible plans or those without insurance may find it beneficial to pay the cash rate directly, provided they confirm the facility offers a self-pay or prompt-pay discount to further reduce the 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, patients should still verify their specific plan details before scheduling. If you choose to use insurance, be aware that the $52.00 negotiated rate may still exceed your out-of-pocket maximum if your deductible has not been met, or it may be subject to your specific copay and coinsurance. To ensure you are receiving the most accurate pricing, request a full itemized bill before finalizing payment, as summary bills can sometimes obscure individual charges. Always ask the billing department about any prompt-pay discounts available for upfront payment, as these can provide immediate savings compared to the standard insurance processing cycle.