CMS Price Transparency Data

Orthotic fitting and training

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $45
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Carepartners Rehabilitation Hospital, Lllp is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $112 (243%)
Insurance Median: $45 (98%)
Cash: $112 (243% of Medicare)
Ins. Median: $45 (98% 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
Apex Health $22 48%
Alignment Health $39 - $44 85%
Devoted Health $39 - $44 85%
United $39 - $66 85%
Aetna $40 - $45 87%
Humana $40 - $46 87%
Wellcare $40 - $67 87%
Provider Partners Health Plan $41 - $47 89%
Cigna $42 - $48 91%
Troy Healthcare $42 - $48 91%
Healthteam Advantage $43 - $48 93%
Amerihealth Caritas $44 - $50 95%
Longevity Health Plan $46 - $53 100%
Blue Cross Blue Shield $65 141%
Caresource $67 145%
Amerihealth $68 148%
Ambetter / Centene $79 171%
Medcost $80 174%
Multiplan $92 200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 68 Sweeten Creek Rd, Asheville, NC 28803
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL