CMS Price Transparency Data

Orthotic fitting and training

Facility: Hackensack Meridian Health Pascack Valley Medical

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $71
Cash Discount Price: $63
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Hackensack Meridian Health Pascack Valley Medical is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.54x the Medicare baseline. Located in 250 Old Hook Road, Westwood, NJ.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $63 (137%)

Insurance Median: $71 (154%)

Cash: $63 (137% of Medicare)

Ins. Median: $71 (154% 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
Healthscope Benefits [2290]	$14	30%
UnitedHealthcare	$14 - $161	30%
Medicaid / KanCare	$25 - $26	54%
Medicare (plans)	$31	67%
Aetna	$38	82%
Black Lung [6055]	$71	154%
Commercial Generic [1285]	$71	154%
Create Flex / Select [3580]	$71	154%
Healthcare Highways [2210]	$71	154%
Horizon [3625]	$71 - $161	154%
Lucent Health [6000]	$71	154%
Oncology Patient Assistance Programs [2295]	$71	154%
Selecthealth [3740]	$71	154%
Web Tpa [2115]	$71	154%
Worker's Comp [2125]	$71 - $129	154%
Wtc Healthcare Sme Karna [8005]	$71	154%
Qualcare [3725]	$144 - $167	312%
Blue Cross Blue Shield	$161	349%
Emblem Health [2430]	$167	362%
Humana	$167	362%
Amerihealth [3520]	$172	373%

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 $63.
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 Hackensack Meridian Health Pascack Valley Medical 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.