CMS Price Transparency Data

Orthotic fitting and training

Facility: Rapides Regional Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $42
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Rapides Regional Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.91x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $42 (91%)
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.

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
Amerihealth Mercy La Lacare $22 48%
United $22 - $43 48%
Aetna $23 - $43 50%
Amerigroup $23 50%
Louisiana Healthcare Connections, Inc. $23 50%
Humana $25 - $43 54%
Triwest Healthcare Alliance $37 - $42 80%
Vantage Health Plan $37 - $112 80%
Blue Cross Blue Shield $38 - $101 82%
Devoted Health $38 - $43 82%
United Va Ccn $38 - $43 82%
Dignity Care Corporation $39 - $44 85%
Wellcare $39 - $45 85%
Medical Development International $43 - $49 93%
Universal Healthcare $45 - $51 98%
Allegiance Health Management $68 - $77 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 4Th Street, Alexandria, LA 71301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals