CMS Price Transparency Data
Orthotic fitting and training
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $157
- Cash Discount Price: $133
- vs. Medicare Baseline: 3.41x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Trinity Health Ann Arbor Hospital is $157. 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 3.41x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$133
Average discount available for prompt cash payment at this facility.
Insurance Median
$157
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: $157 (341%)
Cash: $133 (289% of Medicare)
Ins. Median: $157 (341% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 341% of the Medicare baseline (a markup of 241%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $25 - $73 | 54% |
| Medicaid / KanCare | $25 | 54% |
| Huron Valley Pace | $43 | 93% |
| Aetna | $45 - $114 | 98% |
| Blue Care Network Advantage | $45 | 98% |
| Medicare (plans) | $45 - $46 | 98% |
| Align Senior Care | $46 | 100% |
| Angela Hospice | $46 | 100% |
| Hospice Advantage | $46 | 100% |
| UnitedHealthcare | $47 - $184 | 102% |
| Cca - Zing Health | $48 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $51 | 111% |
| Point Comfort Underwriters | $51 | 111% |
| Molina Marketplace | $59 | 128% |
| Wc Accident Fund | $59 | 128% |
| Wc Advantage | $59 | 128% |
| Wc Aig | $59 | 128% |
| Wc Allied | $59 | 128% |
| Wc Amerisure | $59 | 128% |
| Wc Amtrust | $59 | 128% |
| Wc Asu Risk Mgt | $59 | 128% |
| Wc Berkley Admin | $59 | 128% |
| Wc Broadspire | $59 | 128% |
| Wc Bunch & Associates | $59 | 128% |
| Wc Ccmsi | $59 | 128% |
| Wc Emc Insurance Company | $59 | 128% |
| Wc Esis | $59 | 128% |
| Wc Fcci | $59 | 128% |
| Wc Federated | $59 | 128% |
| Wc Gallagher Bassett | $59 | 128% |
| Wc Genex Care For Ohio | $59 | 128% |
| Wc Guard Insurance Company | $59 | 128% |
| Wc Hartford | $59 | 128% |
| Wc Liberty Mutual | $59 | 128% |
| Wc Meijers | $59 | 128% |
| Wc Michigan | $59 | 128% |
| Wc Mitchell Frankenmuth | $59 | 128% |
| Wc Pma | $59 | 128% |
| Wc Sedgwick | $59 | 128% |
| Wc Sentry | $59 | 128% |
| Wc Travelers | $59 | 128% |
| Wc Tristar | $59 | 128% |
| Wc Walmart | $59 | 128% |
| Wc Zurich | $59 | 128% |
| Health Cost Solutions | $68 | 148% |
| Wellpath | $68 - $71 | 148% |
| U Of M Health Plan | $70 | 152% |
| Vitalcore | $71 | 154% |
| Bcn Domestic | $73 | 158% |
| Blue Benefit Administrators Of Massachusetts | $73 | 158% |
| Blue Care Network | $73 | 158% |
| Blue Distinction Transplant | $73 | 158% |
| Blue Shield - Ca | $73 | 158% |
| Blue Shield - Id (Regence) | $73 | 158% |
| Blue Shield - Ny Highmark Northeastern | $73 | 158% |
| Blue Shield - Ny Highmark Western | $73 | 158% |
| Blue Shield - Pa (Highmark) | $73 | 158% |
| Blue Shield - Wa (Regence) | $73 | 158% |
| Health Choices | $73 - $157 | 158% |
| Kaiser Domestic | $73 | 158% |
| Priority Health | $76 - $84 | 165% |
| Asr Health Benefits | $88 | 191% |
| Caresource | $88 | 191% |
| Hap | $88 - $157 | 191% |
| Varipro | $88 | 191% |
| Acs Benefit Services | $95 | 206% |
| Allied Benefit Systems | $95 | 206% |
| Claimchoice Adminstrators | $95 | 206% |
| Consociate | $95 | 206% |
| Cypress Benefit Administrators | $95 | 206% |
| Forest County Potawatomi | $95 | 206% |
| Health Smart | $95 | 206% |
| Healthgram | $95 | 206% |
| Healthscope | $95 | 206% |
| Secureone Preferred United Plans | $95 | 206% |
| Sisco Benefits | $95 | 206% |
| The Health Plan | $95 | 206% |
| Trustmark Small Business Benefits | $95 | 206% |
| Unified Group Services | $95 | 206% |
| Webtpa | $95 | 206% |
| Employee Benefit Logistic | $102 | 221% |
| Geha | $114 - $149 | 247% |
| Meritain | $114 | 247% |
| 1199 National Benefit Fund | $157 | 341% |
| Access Health | $157 | 341% |
| Acclaim | $157 | 341% |
| Administrative Concepts | $157 | 341% |
| Allegeant | $157 | 341% |
| Allied National Global Care | $157 | 341% |
| Ameriben | $157 | 341% |
| American Family | $157 | 341% |
| American Healthcare Alliance | $157 | 341% |
| American National | $157 | 341% |
| American Republic | $157 | 341% |
| Amerihealth | $157 | 341% |
| Asrm - Reliance Standard Life Insurance | $157 | 341% |
| Aultcare | $157 | 341% |
| Automated Benefit Services | $157 | 341% |
| Auxiant | $157 | 341% |
| Benefit Administrative Systems,Llc | $157 | 341% |
| Boon Chapman | $157 | 341% |
| Cam Administrative Services | $157 | 341% |
| Christian Brother Services | $157 | 341% |
| Christian Brothers Holy Cross | $157 | 341% |
| Christian Care Ministry | $157 | 341% |
| Comprehensive Benefits | $157 | 341% |
| Continental Life Insurance | $157 | 341% |
| Coventry | $157 | 341% |
| Custom Benefit Administrators | $157 | 341% |
| Dean Health | $157 | 341% |
| Employee Benefit Concepts | $157 | 341% |
| Employee Benefit Management | $157 | 341% |
| Enterprise Group Planning | $157 | 341% |
| Fallon Health | $157 | 341% |
| Family Life Insurance Company | $157 | 341% |
| Freedom Life Insurance Company | $157 | 341% |
| Ghc Scw | $157 | 341% |
| Group Administrators | $157 | 341% |
| Group Marketing Services | $157 | 341% |
| Group Pension Administrators | $157 | 341% |
| Guardian | $157 | 341% |
| Health America | $157 | 341% |
| Health Partners | $157 | 341% |
| Healthcare Management Admin | $157 | 341% |
| Healthez | $157 | 341% |
| Humana | $157 | 341% |
| Insight | $157 | 341% |
| Intercare | $157 | 341% |
| International Benefit Administrators | $157 | 341% |
| Jfp Benefit Management | $157 | 341% |
| Jp Farley Corporation | $157 | 341% |
| Key Benefit Administrator | $157 | 341% |
| Liberty Union Life Assurance Co | $157 | 341% |
| Lifetime Benefit Solutions | $157 | 341% |
| Lucent Health | $157 | 341% |
| Luminare Health | $157 | 341% |
| Luminare Health (Detroit) | $157 | 341% |
| Magnacare | $157 | 341% |
| Manhattan Life | $157 | 341% |
| Medben | $157 | 341% |
| Medcost | $157 | 341% |
| Medi Share | $157 | 341% |
| Medical Mutual | $157 | 341% |
| Multiplan | $157 | 341% |
| Mutual Health Services | $157 | 341% |
| Mutual Of Omaha | $157 | 341% |
| Mvp | $157 | 341% |
| Ncas | $157 | 341% |
| Nippon Life Ins | $157 | 341% |
| Nova | $157 | 341% |
| Pai | $157 | 341% |
| Painters Union Insurance Fund | $157 | 341% |
| Pan-American Life | $157 | 341% |
| Paramount Hmo | $157 | 341% |
| Phcs | $157 | 341% |
| Physicians Mutual | $157 | 341% |
| Plumbers Local 98 Insurance Fund | $157 | 341% |
| Prairie States | $157 | 341% |
| Preferred One | $157 | 341% |
| Primary Physician Care | $157 | 341% |
| Professional Benefit Administrators | $157 | 341% |
| Siho Insurance Services | $157 | 341% |
| The Loomis Company | $157 | 341% |
| Trinity Health Share | $157 | 341% |
| Tufts Health Plan | $157 | 341% |
| Unicare | $157 | 341% |
| Us Health And Life | $157 | 341% |
| Valenz | $157 | 341% |
| Western & Southern Financial Group | $157 | 341% |
| Wps | $157 | 341% |
| Cigna | $158 | 343% |
| First Health | $161 | 349% |
| Prime Health Services | $163 | 354% |
| Correctional Healthcare Consultants | $183 | 397% |
| Three Rivers Provider Network | $184 | 399% |
| Bcccp-Michigan | $204 | 443% |
| Cmh Detroit Wayne Integrated Health Network | $204 | 443% |
| Cmh Lenawee County | $204 | 443% |
| Cmh Livingston County | $204 | 443% |
| Cmh Misc | $204 | 443% |
| Cmh Monroe County | $204 | 443% |
| Cmh Washtenaw County | $204 | 443% |
| Crime Victim Assistance | $204 | 443% |