CMS Price Transparency Data

Orthotic fitting and training

Facility: North Oaks Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $42
Cash Discount Price: $104
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at North Oaks Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.91x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $104 (226%)

Insurance Median: $42 (91%)

Cash: $104 (226% of Medicare)

Ins. Median: $42 (91% 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
Mco Lhc	$22	48%
Aetna	$23 - $239	50%
Humana	$23 - $211	50%
Mco Hb	$23	50%
Mco Lacare Am	$23	50%
Medicaid / KanCare	$23	50%
UnitedHealthcare	$23 - $147	50%
Tricare	$41 - $42	89%
Allwell	$42	91%
Blue Advantage	$42	91%
Champva	$42	91%
Healthy Blue Dual Advantage	$42	91%
Peoples Health	$42	91%
Vantage 65	$42	91%
Veterans Administration	$42	91%
Wellcare	$42	91%
Blue Cross Blue Shield	$103 - $104	223%
Verity Healthnet	$183	397%
Ppoplus Llc	$197	427%
Multiplan	$211	458%
Cigna	$222	482%

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 $104.
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 North Oaks Medical Center 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.