Orthotic fitting and training
Facility: Kingman Healthcare Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $136
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.95x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 295% of the Medicare baseline (a markup of 195%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Humana | $136 | 295% |
Consumer Guidance & Cost Commentary
For the procedure "Orthotic fitting and training" at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate is $136.00, which aligns exactly with the lowest and highest reported amounts for this service. This rate is significantly higher than the Medicare benchmark of $46.09, reflecting the typical administrative markup associated with commercial insurance contracts. While the facility is a Voluntary non-profit Critical Access Hospital, the data does not provide a specific cash or median paid amount for this code, meaning patients cannot yet determine if paying out-of-pocket would result in a lower total cost.
Because the facility is a Critical Access Hospital in Kansas, patients should verify whether "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you have a high-deductible plan, it may be financially advantageous to pay the cash price directly if it is lower than your insurance negotiated rate, though current data does not confirm a cash price for this specific service. To ensure you are receiving the best possible rate, we recommend requesting an itemized bill to review the exact CPT codes and confirming that no balance billing will occur for any out-of-network ancillary services.