CMS Price Transparency Data

Orthotic fitting and training

Facility: Lincoln County Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $40
Cash Discount Price: $73
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Lincoln County Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.87x the Medicare baseline. Located in 624 N Second, Lincoln, KS.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$46.09

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $46.09 (100%)

Cash / Self-Pay: $73 (158%)

Insurance Median: $40 (87%)

Cash: $73 (158% of Medicare)

Ins. Median: $40 (87% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	87%

Consumer Guidance & Cost Commentary

For the CPT code 97760, "Orthotic fitting and training," Lincoln County Hospital offers a cash price of $73.00, which is lower than the state average of $81.00. While the facility's negotiated rate with Blue Cross Blue Shield is $40.00, patients should be aware that cash payments can sometimes be more cost-effective if their insurance plan has a high deductible or if the negotiated rate exceeds the cash price. To secure the best possible price, it is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your visit.

This service is provided by a Critical Access Hospital in Lincoln, Kansas, and the data reflects a 2026 vintage. When reviewing your bill, remember that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, and you should always request a full itemized statement rather than accepting a summary bill. If you receive a bill that seems incorrect, you have the right to dispute it in writing to ensure you are only charged for services actually rendered and that no unbundled codes or errors have inflated your total.

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $73.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lincoln County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.