CMS Price Transparency Data

Orthotic fitting and training

Facility: Research Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $82
Cash Discount Price: $435
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Research Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $435. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.78x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.

Cash / Self-Pay

$435

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $435 (944%)

Insurance Median: $82 (178%)

Cash: $435 (944% of Medicare)

Ins. Median: $82 (178% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$39 - $170	85%
Coventry	$39 - $175	85%
Devoted Health	$39 - $44	85%
Humana	$39 - $283	85%
United	$39 - $196	85%
UnitedHealthcare	$39 - $435	85%
Celtic	$40 - $45	87%
Cigna	$40 - $218	87%
Wellcare	$40 - $45	87%
Pyramid Life	$42 - $47	91%
Triwest Health Alliance	$44	95%
Multiplan	$50 - $322	108%
Corvel Corporation	$60 - $283	130%
Oha Network	$62 - $218	135%
Ambetter / Centene	$81	176%
Nhc Advantage	$83	180%
Oscar	$83	180%
Healthyblue	$87	189%
Wppa Providrs Care Network	$87	189%
Aetna	$96 - $222	208%
Universal Healthcare	$152	330%
Coventry Kc Mo	$178	386%
College Park Family Care Center	$187	406%
Emerging Therapy Solutions	$209 - $218	453%
Focus Healthcare Mgmt, Inc	$326	707%
Cco, Inc.	$348	755%
Evernorth Behavioral Health	$348	755%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $435.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Research Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.