CMS Price Transparency Data

Orthotic fitting and training

Facility: Barnes Jewish Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $84
Cash Discount Price: $67
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Barnes Jewish Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.82x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $67 (145%)

Insurance Median: $84 (182%)

Cash: $67 (145% of Medicare)

Ins. Median: $84 (182% 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
Aetna	$45 - $351	98%
Blue Cross Blue Shield	$45 - $97	98%
Essence Healthcare [221]	$45	98%
Humana	$45 - $73	98%
UnitedHealthcare	$45 - $205	98%
Cox Health [757]	$47	102%
Devoted Health Plan [847]	$47	102%
Medica [662]	$47	102%
Healthlink [225]	$54 - $85	117%
Cox Health Systems Insurance Company [220]	$62 - $83	135%
Health Alliance [224]	$62	135%
Allied Benefits [498]	$65 - $351	141%
Hope Trust [806]	$65	141%
Healthscope Benefits [258]	$68 - $205	148%
Med-Pay [480]	$73 - $84	158%
Unicare [568]	$73 - $85	158%
First Health Commercial [734]	$83	180%
Beechstreet [551]	$84	182%
Detego Health [868]	$84	182%
Health Systems Inc [620]	$84	182%
Healthcare Sol Mercy [609]	$84	182%
Multiplan Commercial [737]	$84	182%
Multiplan [240]	$84	182%
Phcs [244]	$84 - $90	182%
Preferred Health Professionals [561]	$85	184%
Cigna	$90 - $199	195%
Medica [661]	$90	195%
Hfn [563]	$95	206%
Consociate [478]	$114	247%
Sarah Bush Lincoln [636]	$114	247%
Apwu Health Plan [216]	$173	375%
Nalc Health Benefit Plan [242]	$173	375%
Priority Health [648]	$173	375%
Coresource [497]	$351	762%
Fmh Benefit Service Inc [222]	$351	762%
Mail Handlers [495]	$351	762%

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 $67.
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 Barnes Jewish Hospital 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.