CMS Price Transparency Data
Orthotic fitting and training
Facility: Claiborne Memorial Medical Center
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $86
- Cash Discount Price: $115
- vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Claiborne Memorial Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.87x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$115
Average discount available for prompt cash payment at this facility.
Insurance Median
$86
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: $115 (250%)
Insurance Median: $86 (187%)
Cash: $115 (250% of Medicare)
Ins. Median: $86 (187% 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
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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 - $75 | 48% |
| Amerihealth Caritas La | $22 - $49 | 48% |
| Community Health Solution | $22 - $49 | 48% |
| Correctcare Intergrated | $22 - $49 | 48% |
| Healthy Blue | $22 - $49 | 48% |
| Humana | $22 - $115 | 48% |
| Louisiana Hc Connections | $22 - $49 | 48% |
| Magellan Services | $22 - $49 | 48% |
| Medicaid / KanCare | $22 - $49 | 48% |
| UnitedHealthcare | $22 - $49 | 48% |
| Sedgwick Claims Mgmt Serv | $39 - $103 | 85% |
| Workman'S Comp | $39 - $103 | 85% |
| Arcadian Community Mcr Hm | $42 | 91% |
| Blue Cross Blue Shield | $42 - $125 | 91% |
| Champus | $42 | 91% |
| Champva | $42 | 91% |
| Cigna | $42 - $86 | 91% |
| Healthy Blue Dual Adv | $42 | 91% |
| Kaiser Foundation Health | $42 | 91% |
| Medicare (plans) | $42 | 91% |
| Peoples Health Network | $42 | 91% |
| Pyramid Claims Mcr Hmo | $42 | 91% |
| Sterling Connect 2 | $42 | 91% |
| Sterling Premier Mc Hmo | $42 | 91% |
| Superior Health Mcr Hmo | $42 | 91% |
| Tenet Mcr Hmo | $42 | 91% |
| Tricare | $42 | 91% |
| United Hc Mcr Hmo | $42 | 91% |
| Universal Hc Mcr Hmo | $42 | 91% |
| Us Dept Of Labor | $42 | 91% |
| Vantage Health Mcr Hmo | $42 | 91% |
| Windsor Sterling Mcr Hmo | $42 | 91% |
| Wps Mvh Vapc3 | $42 | 91% |
| Commercial Insurance | $46 - $115 | 100% |
| Meritain Health | $46 - $75 | 100% |
| Vantage Health Plan Inc | $48 - $52 | 104% |
| Coventry Healthcare | $69 | 150% |
| Geha | $80 | 174% |
| Health Plus Of La | $80 - $86 | 174% |
| Apwu Healthplan | $86 | 187% |
| Great West Healthcare | $86 | 187% |
| Phcs | $92 | 200% |
| Ppo Plus | $92 | 200% |
| Aarp | $115 | 250% |
| Accordia National | $115 | 250% |
| Aflac | $115 | 250% |
| Alameda Alliance Forhealt | $115 | 250% |
| American Pioneer | $115 | 250% |
| Benefit Management | $115 | 250% |
| Benesys Inc | $115 | 250% |
| Business Guarantor | $115 | 250% |
| Chubb | $115 | 250% |
| Commercial Sr. Care | $115 | 250% |
| Employee Benefit Services | $115 | 250% |
| Family Life Insurance Co | $115 | 250% |
| Farm Bureau Insurance | $115 | 250% |
| Fiserv Health Benefit | $115 | 250% |
| Gmp | $115 | 250% |
| Group And Pension Admin | $115 | 250% |
| Group Resources | $115 | 250% |
| Haik Minvielle And Grubbs | $115 | 250% |
| Harrington Benefit Svs | $115 | 250% |
| Health Design Plus | $115 | 250% |
| Health Plan | $115 | 250% |
| Healthscope Benefits | $115 | 250% |
| Insurance Management Admi | $115 | 250% |
| Jefferson National | $115 | 250% |
| John Alden Health Ins | $115 | 250% |
| John Hancock | $115 | 250% |
| Liberty Mutual | $115 | 250% |
| Mailhandlers Benefit Plan | $115 | 250% |
| Manhattan Life Ins Co | $115 | 250% |
| Mega Life And Health | $115 | 250% |
| Msa Careguard | $115 | 250% |
| Mutual Of Omaha | $115 | 250% |
| Nalc Health Benefit Plan | $115 | 250% |
| Naphcare Inc. | $115 | 250% |
| New Era Life Ins Co | $115 | 250% |
| Physicians Mutual | $115 | 250% |
| Principal Financial Group | $115 | 250% |
| Prudential Healthcare | $115 | 250% |
| Self Pay | $115 | 250% |
| State Farm | $115 | 250% |
| State Farm Insurance | $115 | 250% |
| State Mutual Insurance Co | $115 | 250% |
| Sterling Investors Life | $115 | 250% |
| Tower Life | $115 | 250% |
| Transamerica Premier Ins | $115 | 250% |
| United American | $115 | 250% |
| United Comm Travelers | $115 | 250% |
| United Teachers | $115 | 250% |
| Usable Administrator | $115 | 250% |
| Visn 16 Cfu | $115 | 250% |
| Wausau Benefits | $115 | 250% |
| Webtpa | $115 | 250% |
| Wells Fargo | $115 | 250% |
| Woodmen Of The World | $115 | 250% |