CMS Price Transparency Data
Orthotic fitting and training
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $222
- Cash Discount Price: $241
- vs. Medicare Baseline: 4.82x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Mercy Hospital Oklahoma City, Inc is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $241. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 4.82x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$241
Average discount available for prompt cash payment at this facility.
Insurance Median
$222
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: $241 (523%)
Insurance Median: $222 (482%)
Cash: $241 (523% of Medicare)
Ins. Median: $222 (482% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 482% of the Medicare baseline (a markup of 382%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Tricare | $40 - $43 | 87% |
| Aetna | $41 - $288 | 89% |
| Humana | $41 - $275 | 89% |
| Medicaid / KanCare | $41 - $59 | 89% |
| Blue Cross Blue Shield | $43 | 93% |
| Champva [20065] | $43 | 93% |
| Cherokee Nation Health Serv Contracted [320066] | $43 | 93% |
| Cross Timbers Hospice [20098] | $43 | 93% |
| Dept Of Veteran Affairs Contracted [320106] | $43 | 93% |
| Elara Caring Aspire Hospice Contracted [320433] | $43 | 93% |
| Elara Caring Aspire Hospice [20433] | $43 | 93% |
| Halo Hcr Inc Hospice Contracted [320432] | $43 | 93% |
| Halo Hcr Inc Hospice [20432] | $43 | 93% |
| Indian Health Service Contracted [320198] | $43 | 93% |
| Kindful Hospice Contracted [320434] | $43 | 93% |
| Kindful Hospice [20434] | $43 | 93% |
| Longevity Health Plan [10477] | $43 | 93% |
| Medicare (plans) | $43 - $46 | 93% |
| Mercy Hospice Okc [20252] | $43 | 93% |
| Mercy Rehab Hospital Contracted [320260] | $43 | 93% |
| Provider Partners Health Plans Contracted [320450] | $43 | 93% |
| Qual Choice Contracted [320325] | $43 | 93% |
| UnitedHealthcare | $43 - $144 | 93% |
| Cigna | $44 - $238 | 95% |
| Globalhealth Contracted [320145] | $44 | 95% |
| Workers Comp [20426] | $45 | 98% |
| Amg Spec Hosp Edmond [20034] | $46 | 100% |
| Ambetter / Centene | $59 | 128% |
| Home State Health Plan Contracted [320187] | $59 | 128% |
| Novasys Contracted [320285] | $59 | 128% |
| Community Care Contracted [320080] | $65 - $279 | 141% |
| Health Choice Contracted [320166] | $65 | 141% |
| Healthsmart Preferred Care Contracted [320184] | $96 - $259 | 208% |
| Kempton Contracted [320214] | $96 | 208% |
| Medica Contracted [320239] | $112 - $126 | 243% |
| Healthcare Highways Plus Contracted [320175] | $137 - $239 | 297% |
| United Medical Resources Contracted [320454] | $144 - $259 | 312% |
| Webtpa Contracted [320417] | $148 - $167 | 321% |
| Osma Health Contracted [320292] | $158 - $179 | 343% |
| Aither Health Contracted [320449] | $211 - $239 | 458% |
| Auxiant Contracted [320462] | $211 - $259 | 458% |
| Benefit Management Contracted [320052] | $211 - $259 | 458% |
| Ebms Contracted [320493] | $211 - $239 | 458% |
| Healthlink Contracted [320179] | $211 - $259 | 458% |
| Imagine 360 Contracted [320494] | $211 - $239 | 458% |
| Mercy Benefit Admin Contracted [320251] | $211 - $259 | 458% |
| Quik Trip Contracted [320447] | $211 - $239 | 458% |
| Reflect Health Contracted [320492] | $211 - $239 | 458% |
| Show-Me Health Administrators Contracted [320483] | $211 - $239 | 458% |
| Yuzu Health Contracted [320521] | $211 - $239 | 458% |
| First Health Contracted [320128] | $217 - $245 | 471% |
| Federal Medical Center Contracted [320127] | $229 - $259 | 497% |
| Healthscope Contracted [320182] | $229 - $259 | 497% |
| Healthsmart Accel Contracted [320183] | $229 - $259 | 497% |
| Point C Contracted [320238] | $229 - $259 | 497% |
| Preferred Health Plan Contracted [320522] | $229 - $259 | 497% |
| Private Health Care Systems Contracted [320320] | $229 - $279 | 497% |
| Tri State Healthcare Coalition Contracted [320379] | $229 - $259 | 497% |
| Multiplan Contracted [320270] | $246 - $358 | 534% |
| Globalhealth Contracted [320144] | $250 - $283 | 542% |
| Preferred Community Choice Contracted [320311] | $268 - $302 | 581% |
| Centralink Contracted [320480] | $352 - $398 | 764% |