Orthotic fitting and training
Facility: Morris County Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $56
- Cash Discount Price: $61
- vs. Medicare Baseline: 1.22x 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% |
| Va Ccn-All Plans | $39 | 85% |
| Choice Care Mcr Adv-All Plans | $39 | 85% |
| Coventry Mcr | $39 | 85% |
| UnitedHealthcare | $39 - $101 | 85% |
| Cigna | $73 | 158% |
| Aetna | $90 | 195% |
| Coventry Comm-All Other Plans | $91 | 197% |
| Multiplan-All Plans | $91 | 197% |
| Providrs Care (Wppa)(Nexus)-All Plans | $152 | 330% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, Morris County Hospital in Council Grove, KS, lists a gross charge of $101.00. This amount is significantly higher than the state average, which is reflected in the Medicare benchmark of $46.09 and the facility's 1.2x multiplier relative to Medicare. While the facility's cash median rate of $61.00 is lower than the gross charge, it remains above the Medicare amount. Patients with high-deductible plans may find that paying the cash median of $61.00 directly is more cost-effective than relying on insurance, as the negotiated rates for in-network payers like UnitedHealthcare and Aetna range from $73.00 to $101.00, often exceeding the cash price.
To minimize potential costs, patients should verify if the hospital offers a "self-pay" or "prompt-pay" discount, which can reduce the bill by 20% to 50% if paid upfront. Additionally, if a patient receives care from an out-of-network provider at this facility, they may be subject to balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against such billing for emergency and non-emergency services at in-network facilities. Consumers are advised to request a full itemized bill before paying to ensure no unbundled codes or services not rendered are included, as summary bills often obscure these errors.