CMS Price Transparency Data

Orthotic fitting and training

Facility: University Hospitals Conneaut Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $86
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at University Hospitals Conneaut Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.87x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $113 (245%)
Insurance Median: $86 (187%)
Cash: $113 (245% of Medicare)
Ins. Median: $86 (187% 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
Aetna $46 - $102 100%
Blue Cross Blue Shield $46 - $142 100%
Cigna $46 - $111 100%
Devoted $46 100%
Humana $46 100%
Medical Mutual Of Ohio $46 - $141 100%
Molina $46 100%
Primetime Health Plan $46 100%
Summacare $46 - $76 100%
The Health Plan $46 - $99 100%
UnitedHealthcare $46 - $128 100%
Wellcare By Allwell $46 100%
Paramount $48 104%
Perennial Advantage Of Ohio $49 106%
Valor Health Plans $49 106%
University Health Employee Plan (Contigo) $60 130%
Amish Aid Community Plan $69 - $85 150%
Amish Church Fund And Workers Aid Plan $69 - $85 150%
Buckeye Plain Ministries $69 - $85 150%
Jp Farley $70 152%
Clarity $72 156%
Christian Healthcare Ministries $75 163%
Immergrun $75 163%
Sunrise Plan Communities $75 163%
Aultcare $82 178%
Ambetter / Centene $84 182%
Caresource $84 182%
Healthsmart $98 213%
Ohio Health Choice $98 - $135 213%
Medical Mutual Traditional/Health Ohio $105 228%
Beech Street $120 - $135 260%
Ohio Preferred Network $120 - $135 260%
First Health $124 269%
Century Health Network $128 278%
Private Healthcare System $129 280%
Configurenet $135 293%
Fortified Provider Network $135 293%
Multiplan $135 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals