Orthotic fitting and training
Facility: Kiowa County Memorial Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $53
- Cash Discount Price: $51
- 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 | $40 - $53 | 87% |
| UnitedHealthcare | $48 - $60 | 104% |
| Health Partners Of Ks-All Plans | $53 | 115% |
| Medica Prime Mcare Cost-All Plans | $53 | 115% |
| Aetna | $53 | 115% |
| Humana | $53 | 115% |
| Celtic Comml Exchange-All Other Plans | $53 | 115% |
| Medicaid / KanCare | $60 | 130% |
| Providrs Care/Wppa-All Plans | $90 | 195% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, Kiowa County Memorial Hospital in Greensburg, KS, lists a cash median price of $51.00 and a median negotiated rate of $53.00. This cash price is notably lower than the facility's Medicare benchmark of $46.09, which serves as the federal baseline for the true cost of care. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that commercial payers like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates ranging from $40 to $60, which often exceed the cash-pay option. In scenarios where a patient has a high deductible or limited insurance coverage, paying the cash price directly can result in immediate savings compared to the higher negotiated rates charged to insured members.
To ensure you are receiving the most accurate and fair billing, it is recommended to request a full itemized bill before finalizing payment, as summary invoices may obscure individual charges or unbundled services. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the total amount owed by bypassing administrative claim processing fees. Since the facility operates under a government-local ownership structure and serves the 67054 zip code, verifying the specific allowed amount with your insurance carrier prior to scheduling is essential to avoid unexpected balance billing, particularly if any ancillary services are provided out-of-network.