CMS Price Transparency Data
Orthotic fitting and training
Facility: Mercy Hospital Watonga, Inc
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $81
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Mercy Hospital Watonga, Inc is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.76x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$94
Average discount available for prompt cash payment at this facility.
Insurance Median
$81
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: $94 (204%)
Insurance Median: $81 (176%)
Cash: $94 (204% of Medicare)
Ins. Median: $81 (176% 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 | $41 - $110 | 89% |
| Humana | $41 - $55 | 89% |
| Medicaid / KanCare | $41 - $44 | 89% |
| Ambetter / Centene | $44 | 95% |
| Home State Health Plan Contracted [320187] | $44 | 95% |
| Novasys Contracted [320285] | $44 | 95% |
| Blue Cross Blue Shield | $55 - $75 | 119% |
| Cherokee Nation Health Serv Contracted [320066] | $55 | 119% |
| Cross Timbers Hospice [20098] | $55 | 119% |
| Dept Of Veteran Affairs Contracted [320106] | $55 | 119% |
| Elara Caring Aspire Hospice Contracted [320433] | $55 | 119% |
| Elara Caring Aspire Hospice [20433] | $55 | 119% |
| Halo Hcr Inc Hospice Contracted [320432] | $55 | 119% |
| Halo Hcr Inc Hospice [20432] | $55 | 119% |
| Independent Health [20197] | $55 | 119% |
| Indian Health Service Contracted [320198] | $55 | 119% |
| Kindful Hospice Contracted [320434] | $55 | 119% |
| Kindful Hospice [20434] | $55 | 119% |
| Medical Associates Health [20444] | $55 | 119% |
| Medicare (plans) | $55 - $81 | 119% |
| Mercy Hospice Okc [20252] | $55 | 119% |
| Provider Partners Health Plans Contracted [320450] | $55 | 119% |
| Qual Choice Contracted [320325] | $55 | 119% |
| Tribute Health Plan Mcr Contracted [320338] | $55 | 119% |
| Tricare | $55 | 119% |
| UnitedHealthcare | $55 - $115 | 119% |
| Cigna | $57 - $123 | 124% |
| Globalhealth Contracted [320145] | $57 | 124% |
| Webtpa Contracted [320417] | $61 | 132% |
| Health Choice Contracted [320166] | $72 | 156% |
| Medica Contracted [320239] | $81 | 176% |
| Aither Health Contracted [320449] | $87 - $123 | 189% |
| Mercy Benefit Admin Contracted [320251] | $87 - $123 | 189% |
| Quik Trip Contracted [320447] | $87 | 189% |
| Show-Me Health Administrators Contracted [320483] | $87 | 189% |
| Benefit Management Contracted [320052] | $94 - $109 | 204% |
| Healthsmart Accel Contracted [320183] | $102 | 221% |
| Osma Health Contracted [320292] | $102 | 221% |
| Healthcare Highways Plus Contracted [320175] | $109 | 236% |
| Preferred Community Choice Contracted [320311] | $109 | 236% |
| Private Health Care Systems Contracted [320320] | $109 - $116 | 236% |
| United Medical Resources Contracted [320454] | $115 | 250% |
| Multiplan Contracted [320270] | $116 - $130 | 252% |
| First Health Contracted [320128] | $118 | 256% |
| Auxiant Contracted [320462] | $123 | 267% |
| Ebms Contracted [320493] | $123 | 267% |
| Healthlink Contracted [320179] | $123 | 267% |
| Healthsmart Preferred Care Contracted [320184] | $123 | 267% |
| Imagine 360 Contracted [320494] | $123 | 267% |
| Reflect Health Contracted [320492] | $123 | 267% |
| Yuzu Health Contracted [320521] | $123 | 267% |