CMS Price Transparency Data

Orthotic fitting and training

Facility: Akron General Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $82
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Akron General Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.78x the Medicare baseline. Located in 1 Akron General Avenue, Akron, OH.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $177 (384%)
Insurance Median: $82 (178%)
Cash: $177 (384% of Medicare)
Ins. Median: $82 (178% 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
Summacare $28 - $100 61%
UnitedHealthcare $33 - $169 72%
Buckeye $34 - $71 74%
Caresource $36 - $71 78%
United $36 - $239 78%
Amerihealth $38 - $78 82%
Molina $38 - $74 82%
Aetna $39 - $273 85%
Blue Cross Blue Shield $43 - $175 93%
Humana $43 - $60 93%
The Health Plan $43 - $188 93%
Valor $43 - $60 93%
Communicare $45 98%
Pphp $47 - $48 102%
Oscar $48 - $105 104%
Zing Health $48 - $82 104%
Aultcare $57 - $150 124%
Mmo $59 - $127 128%
Upmc $61 - $164 132%
Cigna $62 - $218 135%
Perennial Health $65 141%
Ohcp $70 - $133 152%
United Bh $75 163%
Omas $90 - $136 195%
Cc Ehp $109 - $111 236%
Phphi $109 - $164 236%
Amish Community Aid Plan $123 - $136 267%
Gms $127 - $191 276%
Consociate Health $136 - $205 295%
Ohio Healthy $147 319%
Multiplan $163 - $246 354%
Php $164 356%
Medical Benefit Corp $191 414%
Frontpath $246 534%
Managed Care Services $246 534%
Tertiary Care Network $246 534%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Akron General Avenue, Akron, OH 44307
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals