CMS Price Transparency Data

Orthotic fitting and training

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $119
Cash Discount Price: $69
vs. Medicare Baseline: 2.58x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Mary Hitchcock Memorial Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.58x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $69 (150%)

Insurance Median: $119 (258%)

Cash: $69 (150% of Medicare)

Ins. Median: $119 (258% 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 258% of the Medicare baseline (a markup of 158%). 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
Amerihealth Caritas Nh	$19 - $26	41%
Beacon Health Strategies/Carelon	$19 - $28	41%
Granite State Health Plan	$19 - $28	41%
Wellsense Health Plan	$19 - $49	41%
Harvard Pilgrim Health Care Of Ne	$34 - $187	74%
UnitedHealthcare	$42 - $174	91%
Blue Cross Blue Shield	$47 - $207	102%
Martin'S Point Generations Advantage	$47	102%
Mvp	$47 - $151	102%
Aetna	$48 - $159	104%
Cigna	$48 - $187	104%
Ambetter / Centene	$49 - $154	106%
Martin'S Point Health Care	$49 - $78	106%
Wellcare Health Plans	$49	106%
Tufts Health Plan	$127 - $195	276%
Mass General Brigham Health Plan	$130 - $141	282%
Maine Community Health Options	$144 - $166	312%
Coventry	$197	427%
First Health/Hcvm	$197	427%
Phcs	$203	440%
Corvel	$208	451%
Ccmsi	$215	466%

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 $69.
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 Mary Hitchcock Memorial Hospital 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.