CMS Price Transparency Data
Orthotic fitting and training
Facility: Mercy Hospital - Cassville
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $90
- Cash Discount Price: $73
- vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Mercy Hospital - Cassville is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.95x the Medicare baseline. Located in 94 Main Street, Cassville, MO.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$90
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: $73 (158%)
Insurance Median: $90 (195%)
Cash: $73 (158% of Medicare)
Ins. Median: $90 (195% 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 |
|---|---|---|
| Medicaid / KanCare | $28 - $59 | 61% |
| Dept Of Veteran Affairs Contracted [320106] | $38 | 82% |
| Aetna | $41 - $100 | 89% |
| Humana | $41 - $95 | 89% |
| Medicare (plans) | $43 - $48 | 93% |
| Blue Cross Blue Shield | $44 - $109 | 95% |
| Tricare | $45 | 98% |
| Cherokee Nation Health Serv Contracted [320066] | $46 | 100% |
| Cigna | $46 - $106 | 100% |
| Cross Timbers Hospice [20098] | $46 | 100% |
| Elara Caring Aspire Hospice [20433] | $46 | 100% |
| Globalhealth Contracted [320145] | $46 | 100% |
| Halo Hcr Inc Hospice Contracted [320432] | $46 | 100% |
| Halo Hcr Inc Hospice [20432] | $46 | 100% |
| Indian Health Service Contracted [320198] | $46 | 100% |
| Kindful Hospice Contracted [320434] | $46 | 100% |
| Kindful Hospice [20434] | $46 | 100% |
| Medical Associates Health Contracted [320444] | $46 | 100% |
| Mercy Hospice Okc [20252] | $46 | 100% |
| Mercy Mgd Behavioral Health Contracted [320259] | $46 | 100% |
| Pace Of The Ozarks Contracted [320518] | $46 | 100% |
| Provider Partners Health Plans Contracted [320450] | $46 | 100% |
| Qual Choice Contracted [320325] | $46 | 100% |
| UnitedHealthcare | $46 - $106 | 100% |
| Healthscope Contracted [320182] | $47 | 102% |
| Administrative Payor Contracted [320005] | $50 | 108% |
| Centivo Contracted [320505] | $57 | 124% |
| Ambetter / Centene | $58 | 126% |
| Home State Health Plan Contracted [320187] | $58 | 126% |
| Novasys Contracted [320285] | $58 | 126% |
| Healthlink Contracted [320179] | $73 - $101 | 158% |
| Preferred Health Plan Contracted [320522] | $73 | 158% |
| Health Systems Inc Contracted [320174] | $90 | 195% |
| Insurance System Inc Contracted [320465] | $90 | 195% |
| Point C Contracted [320238] | $90 - $101 | 195% |
| Point C [20238] | $90 | 195% |
| United Medical Resources Contracted [320454] | $90 - $95 | 195% |
| Workers Comp [20426] | $90 - $101 | 195% |
| Municipal Health Plan Contracted [320271] | $91 | 197% |
| Medica Contracted [320239] | $100 | 217% |
| 90 Degree Benefits Contracted [320436] | $101 | 219% |
| Aither Health Contracted [320449] | $101 | 219% |
| American Healthcare Alliance Contracted [320020] | $101 | 219% |
| Auxiant Contracted [320462] | $101 | 219% |
| Benefit Management Contracted [320052] | $101 | 219% |
| Ebms Contracted [320493] | $101 | 219% |
| Edison Health Solutions Contracted [320502] | $101 | 219% |
| Evolutions Health Care Contracted [320124] | $101 | 219% |
| Imagine 360 Contracted [320494] | $101 | 219% |
| Mercy Benefit Admin Contracted [320251] | $101 | 219% |
| Reflect Health Contracted [320492] | $101 | 219% |
| Show-Me Health Administrators Contracted [320483] | $101 | 219% |
| Usa Managed Care Org Contracted [320429] | $101 | 219% |
| Yuzu Health Contracted [320521] | $101 | 219% |
| First Health Contracted [320128] | $106 | 230% |
| Multiplan Contracted [320270] | $106 | 230% |
| Private Health Care Systems Contracted [320320] | $106 | 230% |