CMS Price Transparency Data

Orthotic fitting and training

Facility: Baptist Memorial Hospital North Ms

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $125
Cash Discount Price: $45
vs. Medicare Baseline: 2.71x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Baptist Memorial Hospital North Ms is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.71x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $45 (98%)

Insurance Median: $125 (271%)

Cash: $45 (98% of Medicare)

Ins. Median: $125 (271% 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 271% of the Medicare baseline (a markup of 171%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$31 - $148	67%
Magnolia Ms	$40 - $50	87%
Advanced Health Systems Inc.	$43	93%
Blue Cross Blue Shield	$43	93%
Ums Athletic Dept	$50 - $64	108%
Ppo Holdings	$68 - $86	148%
Magnolia Regional Health Center	$72 - $91	156%
Littler	$90 - $114	195%
Molina	$90 - $114	195%
Mpcn	$94 - $118	204%
Cigna	$99 - $125	215%
Primewell	$108 - $136	234%
Humana	$119 - $150	258%
First Choice Health Plan Of Ms	$126 - $159	273%
Multiplan	$135 - $170	293%
Novasys	$135 - $170	293%
Christian Health Aid	$144 - $182	312%
Ppo Plus	$153 - $193	332%
UnitedHealthcare	$160 - $237	347%
Qca	$162 - $204	351%

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 $45.
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 Baptist Memorial Hospital North Ms 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.