Orthotic fitting and training
Facility: Mitchell County Hospital Health Systems
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $73
- Cash Discount Price: $70
- vs. Medicare Baseline: 1.58x 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 | 87% |
| UnitedHealthcare | $43 - $78 | 93% |
| Triwest Well Mark All Plans | $65 - $66 | 141% |
| Aetna | $69 - $70 | 150% |
| First Health-All Plans | $69 - $70 | 150% |
| Pref Hlth Care Sytms Comm - All Plans | $69 - $70 | 150% |
| Multiplan Ppo - All Plans | $73 - $74 | 158% |
| Phc Leased Ntwrk Access - All Plans | $73 - $74 | 158% |
| Auxiant-All Plans | $73 - $74 | 158% |
| Health Partners Ks-All Plans | $76 - $77 | 165% |
| Cigna | $76 - $77 | 165% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the negotiated rates at Mitchell County Hospital Health Systems in Beloit, KS, range from $40 to $78 depending on the insurance carrier. While the facility's cash median price is $70.00, which is lower than the state average of $73.00, patients with high-deductible plans may find that paying cash upfront is more cost-effective than using insurance, as commercial negotiated rates often exceed the cash price. The facility, a Critical Access Hospital owned by the local government, offers a cash median of $70.00, which is $3.00 less than the median negotiated rate of $73.00.
To avoid unexpected costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill. It is important to note that while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still verify their specific plan details. Furthermore, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.