Orthotic fitting and training
Facility: Kiowa District Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $71
- Cash Discount Price: $60
- vs. Medicare Baseline: 1.54x 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 |
|---|---|---|
| Tricare | $28 - $30 | 61% |
| Blue Cross Blue Shield | $39 | 85% |
| UnitedHealthcare | $57 - $78 | 124% |
| Health Partners Of Ks-All Plans | $62 - $69 | 135% |
| Humana | $64 - $70 | 139% |
| Gbs Insurance - All Plans | $67 - $73 | 145% |
| Triwest-All Plans | $67 - $74 | 145% |
| Multiplan-All Plans | $67 - $73 | 145% |
| Medicare (plans) | $67 - $74 | 145% |
| Aetna | $67 - $74 | 145% |
| Medicaid / KanCare | $71 - $78 | 154% |
| Healthchoice-All Plans | $73 | 158% |
| Providers Care (Wppa)-All Plans | $106 - $117 | 230% |
| Liberty Healthshare-All Plans | $115 - $126 | 250% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the cash median price at Kiowa District Hospital in Kiowa, KS is $60.00, while the median negotiated rate across 14 payers is $71.00. This suggests that for patients with high-deductible plans, paying cash directly may result in lower out-of-pocket costs compared to using insurance, as the negotiated rates often exceed the cash price. The facility, a Critical Access Hospital owned by a government hospital district, lists a cash median of $60.00 against a Medicare amount of $46.09; however, without specific county or state average data provided in the source material, direct comparisons to regional pricing benchmarks cannot be made. Patients are encouraged to verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier, with the lowest negotiated rate found at Tricare at $28.00 and the highest at Providers Care (Wppa) at $106.00.
To minimize medical debt, consumers should request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges and potential errors such as unbundled codes or services not rendered. Since over 80% of hospital bills contain inaccuracies, demanding a line-by-line CPT-coded statement is the most effective way to identify and dispute overcharges. Additionally, patients should inquire about prompt-pay discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. If a balance bill arises from out-of-network ancillary services, the