Orthotic fitting and training
Facility: Great Plains Of Sabetha
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $55
- Cash Discount Price: $73
- vs. Medicare Baseline: 1.19x 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 |
|---|---|---|
| Celtic Mcr Adv | $29 - $47 | 63% |
| Aetna | $29 - $91 | 63% |
| Celtic Comm Exchange-All Other Plans | $36 - $58 | 78% |
| Great West Healthcare-All Plans | $47 - $76 | 102% |
| UnitedHealthcare | $51 - $90 | 111% |
| Multiplan-Phcs-All Plans | $52 - $86 | 113% |
| Humana | $52 - $86 | 113% |
| Cigna | $52 - $86 | 113% |
| Century/Wppa/Providers-All Plans | $52 - $86 | 113% |
| Federated Mutual Ins-All Plans | $53 - $86 | 115% |
| Blue Cross Blue Shield | $55 - $90 | 119% |
| Medicaid / KanCare | $55 - $90 | 119% |
Consumer Guidance & Cost Commentary
For the orthotic fitting and training service (CPT 97760) at Great Plains of Sabetha, the cash price is $73.00, which matches the facility's cash median. This rate is significantly higher than the state average of $46.09, representing a markup of 1.2 times the Medicare benchmark. While commercial insurance plans like Aetna and Celtic Mcr Adv negotiate rates as low as $29, these amounts often exceed the cash price for patients with high-deductible plans who may not yet have met their out-of-pocket maximum. In such cases, paying the full cash price of $73.00 upfront can result in immediate savings compared to the higher negotiated rates that insurance carriers may allow.
Patients should proactively request a prompt-pay discount or self-pay rate before scheduling, as these upfront fees can reduce the total cost by 20% to 50%. It is important to verify your specific plan's deductible status, as paying the negotiated rate may not be covered until that threshold is met. If you receive a bill that includes charges for services not rendered or unbundled components, you should request a formal itemized audit to identify errors, as over 80% of hospital bills contain inaccuracies. Always compare the facility's negotiated rates against the state average to ensure you are receiving fair pricing, and never accept a summary bill without reviewing the detailed line items.