Orthotic fitting and training
Facility: Hodgeman County Health Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $46
- Cash Discount Price: $53
- vs. Medicare Baseline: 1.00x 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 | $38 - $40 | 82% |
| Humana | $42 | 91% |
| Triwest - All Plans | $42 | 91% |
| UnitedHealthcare | $42 - $63 | 91% |
| Medicaid / KanCare | $42 - $66 | 91% |
| Aetna | $53 | 115% |
| First Health - All Plans | $59 | 128% |
| Wppa (Provdrscare) - All Plans | $63 | 137% |
| Health Partners - All Plans | $63 | 137% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, Hodgeman County Health Center in Jetmore, KS, lists a gross charge of $66.00. The facility's cash median rate is $53.00, which is lower than the state average of $66.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield range from $38.00 to $40.00, and Medicaid/KanCare rates are $42.00 to $63.00, patients should note that cash payments can sometimes be more cost-effective than insurance claims. This is particularly relevant for those with high-deductible plans, as the cash price of $53.00 may be lower than the insurer's allowed amount, which varies by plan from $38.00 up to $66.00.
To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a full itemized bill to verify that no services were unbundled or charged incorrectly, as over 80% of hospital bills contain errors. Finally, while the facility is in-network for most major carriers, patients should confirm their specific deductible status and allowed amounts, as paying the full negotiated rate without meeting a deductible can result in higher out-of-pocket costs than paying the cash price directly.