CMS Price Transparency Data

Orthotic fitting and training

Facility: Ochsner LSU Health Monroe

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $51
Cash Discount Price: $17
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Ochsner LSU Health Monroe is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.11x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$17

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $17 (37%)

Insurance Median: $51 (111%)

Cash: $17 (37% of Medicare)

Ins. Median: $51 (111% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$22 - $99	48%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$22	48%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$22	48%
Humana	$22 - $42	48%
Louisiana Healthcare Connections (Healthy Louisiana)	$22	48%
UnitedHealthcare	$22 - $156	48%
Verity Health Network – Lsu First Choice	$30 - $58	65%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$42	91%
Blue Cross Blue Shield	$42 - $64	91%
Medicare (plans)	$42	91%
Vantage Health Plan - Commercial	$47	102%
First Health Network	$51 - $97	111%
Multiplan/Phcs/American Lifecare	$51 - $97	111%
Usa Managed Care Network	$54 - $104	117%
Zelis	$68	148%
Healthcomp Ppo (Formerly Gilsbar 360	$106	230%
Cigna	$114	247%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $17.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner LSU Health Monroe is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.