CMS Price Transparency Data

Orthotic fitting and training

Facility: Baptist Memorial Hospital Desoto

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $120
Cash Discount Price: $44
vs. Medicare Baseline: 2.60x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Baptist Memorial Hospital Desoto is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.60x the Medicare baseline. Located in 7601 Southcrest Parkway, Southaven, MS.

Cash / Self-Pay

$44

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $44 (95%)

Insurance Median: $120 (260%)

Cash: $44 (95% of Medicare)

Ins. Median: $120 (260% 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 260% of the Medicare baseline (a markup of 160%). 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 - $61	67%
Advanced Health Systems Inc.	$43	93%
Magnolia Ms	$45 - $51	98%
Blue Cross Blue Shield	$49 - $140	106%
Humana	$76 - $131	165%
Ppo Holdings	$79 - $89	171%
Cooper Realty	$83 - $94	180%
Magnolia Regional Health Center	$83 - $94	180%
Multiplan	$89 - $176	193%
Littler	$104 - $117	226%
Molina	$104 - $117	226%
Mpcn	$108 - $122	234%
First Choice Health Plan Of Ms	$110 - $124	239%
Novasys	$120 - $136	260%
Access Health Services	$124 - $140	269%
Primewell	$124 - $140	269%
Oscar	$130	282%
Qca	$155 - $176	336%
UnitedHealthcare	$160 - $237	347%
Christian Health Aid	$166 - $187	360%
Ppo Plus	$166 - $187	360%
St. Jude Children'S Hospital	$186 - $211	404%

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 $44.
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 Desoto 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.