CMS Price Transparency Data

Orthotic fitting and training

Facility: Baptist Memorial Hospital Booneville

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $128
Cash Discount Price: $49
vs. Medicare Baseline: 2.78x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Baptist Memorial Hospital Booneville is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.78x the Medicare baseline. Located in 100 Hospital Street, Booneville, MS.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $49 (106%)

Insurance Median: $128 (278%)

Cash: $49 (106% of Medicare)

Ins. Median: $128 (278% 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 278% of the Medicare baseline (a markup of 178%). 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 - $130	67%
Advanced Health Systems Inc.	$43	93%
Blue Cross Blue Shield	$43	93%
Magnolia Ms	$46 - $47	100%
Ppo Holdings	$78 - $79	169%
Magnolia Regional Health Center	$82 - $83	178%
Littler	$102 - $104	221%
Molina	$102 - $104	221%
Mpcn	$106 - $108	230%
Cigna	$112 - $114	243%
Primewell	$122 - $124	265%
UnitedHealthcare	$122 - $137	265%
Humana	$135 - $137	293%
First Choice Health Plan Of Ms	$143 - $145	310%
Multiplan	$153 - $155	332%
Novasys	$153 - $155	332%
Christian Health Aid	$163 - $166	354%
Ppo Plus	$173 - $176	375%
Qca	$184 - $186	399%

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 $49.
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 Booneville 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.