CMS Price Transparency Data

Orthotic fitting and training

Facility: Mercy Hospital Marietta

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $101
Cash Discount Price: $168
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Mercy Hospital Marietta is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 2.19x the Medicare baseline. Located in 300 Wanda Street, Marietta, OK.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $168 (365%)

Insurance Median: $101 (219%)

Cash: $168 (365% of Medicare)

Ins. Median: $101 (219% 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 219% of the Medicare baseline (a markup of 119%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$41 - $117	89%
Humana	$41 - $54	89%
Medicaid / KanCare	$41	89%
Blue Cross Blue Shield	$54 - $82	117%
Cross Timbers Hospice [20098]	$54	117%
Elara Caring Aspire Hospice Contracted [320433]	$54	117%
Elara Caring Aspire Hospice [20433]	$54	117%
Halo Hcr Inc Hospice Contracted [320432]	$54	117%
Halo Hcr Inc Hospice [20432]	$54	117%
Independent Health [20197]	$54	117%
Indian Health Service Contracted [320198]	$54	117%
Kindful Hospice Contracted [320434]	$54	117%
Kindful Hospice [20434]	$54	117%
Medical Associates Health [20444]	$54	117%
Medicare (plans)	$54 - $57	117%
Mercy Hospice Okc [20252]	$54	117%
Tricare	$57	124%
UnitedHealthcare	$57 - $118	124%
Cigna	$59 - $126	128%
Webtpa Contracted [320417]	$71	154%
Aither Health Contracted [320449]	$101 - $143	219%
Mercy Benefit Admin Contracted [320251]	$101 - $151	219%
Quik Trip Contracted [320447]	$101	219%
Show-Me Health Administrators Contracted [320483]	$101	219%
Osma Health Contracted [320292]	$118	256%
United Medical Resources Contracted [320454]	$118 - $151	256%
First Health Contracted [320128]	$119	258%
Benefit Management Contracted [320052]	$126 - $151	273%
Healthcare Highways Plus Contracted [320175]	$126	273%
Auxiant Contracted [320462]	$143 - $151	310%
Ebms Contracted [320493]	$143	310%
Healthlink Contracted [320179]	$143 - $151	310%
Preferred Community Choice Contracted [320311]	$143	310%
Federal Medical Center Contracted [320127]	$151	328%
Healthscope Contracted [320182]	$151	328%
Point C Contracted [320238]	$151	328%
Preferred Health Plan Contracted [320522]	$151	328%
Tri State Healthcare Coalition Contracted [320379]	$151	328%

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 $168.
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 Mercy Hospital Marietta 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.