CMS Price Transparency Data

Orthotic fitting and training

Facility: Henry Ford Allegiance Health

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $78
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Henry Ford Allegiance Health is $78. 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 1.69x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $78 (169%)
Ins. Median: $78 (169% 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 - $110 50%
Hap Caresource $23 50%
Mclaren $23 50%
Meridian Health Plan Of Mi $23 - $68 50%
Priority Health $23 - $112 50%
Aetna $24 - $101 52%
Molina $25 54%
Humana $45 98%
Molina Mi Health Link $47 102%
Bcn $60 130%
Mclaren Health $78 169%
Vitalcore Physicians Group Of Mi $78 169%
Jackson County Offiice Of The Sheriff $81 176%
Immergrun Inc $94 204%
Hap $97 210%
UnitedHealthcare $115 250%
University Of Michigan $120 260%
Cigna $139 302%
Cofinity Group Health $140 304%
Frontpath $140 304%
Multiplan, Inc. $140 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals