Orthotic fitting and training
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $43
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Humana | $43 | 93% |
| Vc Hope | $43 | 93% |
| Va | $43 | 93% |
| Medicare (plans) | $43 - $44 | 93% |
| UnitedHealthcare | $44 - $120 | 95% |
| Blue Cross Blue Shield | $44 | 95% |
| Smarthealth | $60 | 130% |
| Medicaid / KanCare | $73 | 158% |
| Aetna | $79 | 171% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the negotiated rates at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, range from $43 to $120 depending on the insurance carrier. The median negotiated rate across all payers is $43, which aligns closely with the lowest end of the spectrum observed for Humana, Vc Hope, and Virginia Medicaid plans. However, UnitedHealthcare plans show a wider variance, with rates reaching up to $120, significantly higher than the facility's median. It is important to note that while commercial insurance contracts often include administrative overhead that can inflate rates by 20% to 40% above the true cost of care, the facility's cash median and median paid are currently not available in this dataset. Patients with high-deductible plans should consider that paying cash upfront may result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, provided the facility offers a self-pay or prompt-pay discount.
To ensure you are receiving the most accurate and fair pricing, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. While the facility is a Part A provider in Kansas, specific comparisons to state or county average rates for this procedure are not included in the current data. Regardless of the billing structure, patients should verify their deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can lead to unexpected financial exposure. Additionally, if you are self-paying, ask the billing department about prompt-pay discounts, which can reduce the total amount due by