CMS Price Transparency Data

Orthotic fitting and training

Facility: Lake Health Beachwood Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $85
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Lake Health Beachwood Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.84x the Medicare baseline. Located in 25501 Chagrin Boulevard, Beachwood, OH.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $134 (291%)
Insurance Median: $85 (184%)
Cash: $134 (291% of Medicare)
Ins. Median: $85 (184% 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
Cigna $23 - $43 50%
Aetna $43 - $120 93%
Blue Cross Blue Shield $43 93%
Devoted Health $43 93%
Humana $43 93%
Medical Mutual Of Ohio $43 93%
Molina $43 - $48 93%
Primetime Health Plan $43 93%
Summacare $43 - $85 93%
The Health Plan $43 93%
UnitedHealthcare $43 93%
Wellcare By Allwell $43 93%
Paramount $45 98%
Perennial Advantage Of Ohio $45 98%
Valor Health Plans $45 98%
University Health Employee Plan (Contigo) $71 154%
Ambetter / Centene $78 169%
Caresource $78 169%
Amish Aid Community Plan $82 178%
Amish Church Fund And Workers Aid Plan $82 178%
Buckeye Plain Ministries $82 178%
Clarity $85 184%
Jp Farley $85 184%
Christian Healthcare Ministries $89 193%
Immergrun $89 193%
Sunrise Plan Communities $89 193%
Aultcare $98 213%
Healthsmart $116 252%
Ohio Health Choice $116 - $160 252%
Beech Street $142 - $160 308%
Ohio Preferred Network $142 - $160 308%
First Health $148 321%
Century Health Network $151 328%
Private Healthcare System $153 332%
Configurenet $160 347%
Fortified Provider Network $160 347%
Multiplan $160 347%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25501 Chagrin Boulevard, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals