CMS Price Transparency Data

Orthotic fitting and training

Facility: Munson Healthcare Grayling Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $85
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Munson Healthcare Grayling Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.84x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $133 (289%)
Insurance Median: $85 (184%)
Cash: $133 (289% of Medicare)
Ins. Median: $85 (184% 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
Blue Cross Blue Shield $23 - $137 50%
Mclaren Health Plan $23 - $102 50%
Meridian $23 50%
Molina $23 - $47 50%
Priority Health $23 - $93 50%
UnitedHealthcare $23 - $109 50%
Aetna $40 - $138 87%
Cofinity $40 - $142 87%
Atrium King Centre Skilled Nursing Services $44 95%
Blue Care Network $44 95%
Hap (Health Alliance Plan) $44 - $146 95%
Humana $44 95%
Medicare (plans) $44 95%
Michigan Amish Medical Board $44 - $50 95%
Northern Michigan Mennonite Group $44 95%
Promedica $44 95%
Wellcare (Meridian) $44 95%
Wellspring Lutheran Services Skilling Nursing Services $44 95%
Provider Network Of America Group Health $61 - $155 132%
Asr/Physicians Care $65 - $146 141%
Nomi Health $70 - $146 152%
Employee Benefits Logistics $74 161%
Hospice Of Michigan $78 - $109 169%
Cigna $85 - $93 184%
Munson Hospice $91 - $852 197%
Medical Cost Savings Solution $104 - $146 226%
The Robbins Group And Regency Employee Benefits $104 - $146 226%
Wds Enterprise Group Planning $104 - $146 226%
First Health/Coventry Network $110 - $155 239%
Three Rivers Provider Network $110 - $155 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals