Orthotic fitting and training
Facility: Neosho Memorial Regional Medical Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $49
- Cash Discount Price: $115
- vs. Medicare Baseline: 1.06x 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 | $44 - $49 | 95% |
| Tricare | $47 | 102% |
| Medadv_Allwell | $49 | 106% |
| Medadv_Uhc | $49 | 106% |
| Aetna | $49 | 106% |
| Va_Ccn | $49 | 106% |
| Medicare (plans) | $49 | 106% |
| Humana | $49 | 106% |
| Ambetter / Centene | $78 | 169% |
| Wppa_Providrscare | $128 | 278% |
| United | $128 | 278% |
| Cigna | $146 | 317% |
| Hpk | $146 | 317% |
| Coventry | $146 | 317% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, Neosho Memorial Regional Medical Center in Chanute, KS, lists a gross charge of $154.00. The facility's cash median price is $115.00, which is notably lower than the negotiated rates paid by most major insurers, ranging from $44.00 to $146.00 depending on the plan. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that cash payments can sometimes be more cost-effective than insurance claims, particularly if the patient's deductible has not yet been met or if the insurer's negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which may further reduce the final amount owed.
The Medicare benchmark for this service is $46.09, serving as a baseline for evaluating the facility's pricing structure. The commercial negotiated rate of $49.00 is slightly higher than the Medicare amount, reflecting the administrative costs and contract dynamics inherent in commercial insurance. Patients should avoid comparing these rates against the facility's full chargemaster list, as the gross charge of $154.00 is inflated and does not represent the actual cost of care. If a patient receives an itemized bill that includes unexpected charges or services not rendered, they should request a formal itemized audit to identify errors such as code unbundling or duplicate billing, ensuring they are only paying for the agreed-upon services.