CMS Price Transparency Data

Orthotic fitting and training

Facility: New London Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $68
Cash Discount Price: $70
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at New London Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.48x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $70 (152%)

Insurance Median: $68 (148%)

Cash: $70 (152% of Medicare)

Ins. Median: $68 (148% 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.

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	$20 - $78	43%
Granite State Health Plan	$20 - $78	43%
Wellsense Health Plan	$20 - $68	43%
Aetna	$36 - $133	78%
Blue Cross Blue Shield	$42 - $122	91%
Martin'S Point Generations Advantage	$47 - $68	102%
Martin'S Point Health Care	$47 - $106	102%
UnitedHealthcare	$47 - $120	102%
Wellcare Health Plans	$48 - $68	104%
Harvard Pilgrim Health Care Of Ne	$55 - $110	119%
Ambetter / Centene	$61 - $68	132%
Cigna	$66 - $104	143%
Tufts Health Plan	$106 - $111	230%
Coventry	$146	317%
Multiplan	$146	317%

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 $70.
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 New London 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.