CMS Price Transparency Data

Orthotic fitting and training

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $77
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Uofl Health - Shelbyville Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.67x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$46.09

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $46.09 (100%)
Cash / Self-Pay: $68 (148%)
Insurance Median: $77 (167%)
Cash: $68 (148% of Medicare)
Ins. Median: $77 (167% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Passport $24 - $90 52%
UnitedHealthcare $29 - $86 63%
Wellcare $29 - $61 63%
Aetna $30 65%
Blue Cross Blue Shield $30 - $77 65%
Humana $30 - $42 65%
Essence Health $42 91%
Va Ccn $42 91%
Communicare $44 95%
Devoted $44 95%
Senior Care Communty Of Ky $44 95%
Signature $44 - $90 95%
Key Benefit Administrators $55 119%
Velocity $55 - $176 119%
Prime Group Health $64 - $153 139%
Cigna $102 221%
Encore $108 234%
Multiplan $119 - $162 258%
Omca $171 371%
Corvel $180 391%
Cshn $180 391%
Health Smart $180 391%
National Comp Care $180 391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 Hospital Drive, Shelbyville, KY 40065
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals