CMS Price Transparency Data

Orthotic fitting and training

Facility: Desert View Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $65
Cash Discount Price: $51
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Desert View Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.41x the Medicare baseline. Located in 360 South Lola Lane, Pahrump, NV.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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: $51 (111%)

Insurance Median: $65 (141%)

Cash: $51 (111% of Medicare)

Ins. Median: $65 (141% 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
Sr.Careplus	$20 - $21	43%
Humana	$23 - $80	50%
Ambetter / Centene	$34 - $37	74%
Silversummit	$34	74%
Smartchoice	$34	74%
Hpn	$39 - $42	85%
Sierra	$39 - $42	85%
UnitedHealthcare	$39 - $59	85%
Cigna	$62 - $67	135%
Beechstreet	$74 - $80	161%
Coventry	$74 - $80	161%
Multiplan	$74 - $80	161%
Prominence	$74 - $80	161%
Aetna	$79 - $85	171%
Affiliated	$92 - $100	200%
Blue Cross Blue Shield	$105 - $114	228%

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 $51.
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 Desert View 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.