CMS Price Transparency Data

Orthotic fitting and training

Facility: Bailey Medical Center, LLC

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $71
Cash Discount Price: $77
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Bailey Medical Center, LLC is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.54x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $77 (167%)

Insurance Median: $71 (154%)

Cash: $77 (167% of Medicare)

Ins. Median: $71 (154% 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
Healthcare Highways [2210]	$64 - $71	139%
Hooray Health [8000]	$64	139%
Oncology Patient Assistance Programs [2295]	$64	139%
Oscar Insurance Company [7005]	$64	139%
Osma Health Network [2345]	$64	139%
Healthscope Benefits [2290]	$68	148%
UnitedHealthcare	$68	148%
Resource One Administrators [2815]	$71	154%
Web Tpa [2115]	$71 - $113	154%
Aetna	$113	245%
Coresource [1315]	$113	245%
Coventry Healthcare [1320]	$113	245%
Meritain Health [1655]	$113	245%
The Kempton Group Administrators [2905]	$116	252%
First Health [1375]	$130	282%
Medica [2910]	$130	282%
Multiplan [1680]	$130	282%
Healthcare Solutions [1485]	$146	317%
Healthsmart [1505]	$218	473%
Pending Ssi [1616]	$257	558%

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 $77.
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 Bailey Medical Center, LLC 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.