CMS Price Transparency Data

Orthotic fitting and training

Facility: Abbeville General Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $45
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Abbeville General Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $29 (63%)
Insurance Median: $45 (98%)
Cash: $29 (63% of Medicare)
Ins. Median: $45 (98% 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
Cigna $20 - $30 43%
Self Pay $29 - $30 63%
Triwest Healthcare Alliance $34 74%
Humana $37 - $106 80%
Med-Comp Usa Inc $37 80%
Aetna $40 - $42 87%
Blue Cross Blue Shield $42 - $104 91%
Healthy Blue $42 91%
Medicare (plans) $42 91%
People'S Health $42 91%
Ppo Plus Professional $42 91%
Sierra Health And Life Insurance $42 91%
Sterling Life Insurance Company $42 91%
UnitedHealthcare $42 - $48 91%
Gilsbar Ppo $43 - $46 93%
Ppo Plus $43 - $45 93%
United Behavioral Health Inc $43 - $45 93%
Verity Healthnet National $43 - $45 93%
American Lifecare (Phcs) $44 - $48 95%
Guardian Resources $46 - $48 100%
Coventry Company $49 - $51 106%
Galaxy Health Network $49 - $51 106%
Usa Managed Care $49 - $51 106%
Health Payors Organization $52 - $54 113%
Miscellaneous Insurance $57 - $60 124%
Wellcare Of Louisiana $57 - $60 124%
Office Of Group Benefits $66 143%
Vantage Health Plan $90 - $107 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals