CMS Price Transparency Data

Orthotic fitting and training

Facility: Oakdale Community Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $51
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Oakdale Community Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.11x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$54

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: $54 (117%)
Insurance Median: $51 (111%)
Cash: $54 (117% 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.

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 - $153 48%
Medicaid / KanCare $22 - $60 48%
UnitedHealthcare $22 - $60 48%
Humana $24 - $171 52%
Aarp $34 - $37 74%
All Savers Insurance $34 - $37 74%
Geha $34 - $37 74%
United Hc Shared Services $34 - $37 74%
Allegiance Hospice $43 93%
Allen Oaks Hospice $43 93%
Ambetter / Centene $43 93%
Blue Cross Blue Shield $43 - $77 93%
Champva $43 93%
Compassionate Care Hospic $43 93%
Correct Care $43 - $272 93%
Golden Rule $43 - $46 93%
Harbor Hospice $43 93%
Healthy Blue Dual Adv $43 93%
Heart Of Hospice $43 93%
Hos Misc Hospice $43 93%
Ice Health Service Corp $43 93%
Mcr Lagniappe $43 93%
Medicare (plans) $43 - $46 93%
Mutual Of Omaha $43 93%
Snf Nursing Home $43 93%
St Francis Nursing Home $43 93%
Triwest $43 - $272 93%
Us Family Health Plan $43 - $272 93%
Wellcare $43 93%
Wellcare Of Louisiana $43 93%
Mcr American Hlth Adv $46 100%
Meritain $51 - $153 111%
Amfirst $54 117%
Self Pay $54 117%
Gulf South Risk Svcs Ip $56 122%
Integrated Med Solutions $60 130%
Hawaii Mainland Administr $64 139%
Web-Tpa $136 295%
Cigna $148 - $153 321%
Ima $163 - $272 354%
Ppo Plus $163 354%
Wc Gulf South Risk Srvcs $244 529%
Wc Martco $244 529%
Wc Misc $244 529%
Wc Risk Mgmnt-Baton Rouge $244 529%
Wc Sedwick Workmans Comp $244 529%
Wc Us Department Of Labor $244 529%
American Public Life $272 590%
American Retirement Life $272 590%
Apwu $272 590%
Auto Liability $272 590%
Bankers Life $272 590%
Fox Everitt $272 590%
Mailhandlers Benefit Plan $272 590%
Medishare $272 590%
Medplus $272 590%
Misc Commerical $272 590%
Phcs $272 590%
Physicians Mutual $272 590%
State Farm-La $272 590%
Usaa $272 590%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals