CMS Price Transparency Data

Orthotic fitting and training

Facility: Curry General Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $141
Cash Discount Price: $148
vs. Medicare Baseline: 3.06x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Curry General Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 3.06x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $148 (321%)

Insurance Median: $141 (306%)

Cash: $148 (321% of Medicare)

Ins. Median: $141 (306% 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 306% of the Medicare baseline (a markup of 206%). 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
Tricare	$46	100%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$64	139%
Medicare (plans)	$64 - $96	139%
Blue Cross Blue Shield	$75 - $148	163%
Medicaid / KanCare	$93 - $96	202%
Department Of Corrections [1051]	$96	208%
Coordinated Care Commercial [1649]	$126	273%
Pacificsource [1148]	$126	273%
Moda [512]	$127 - $133	276%
Multiplan [1131]	$135	293%
First Choice Health Admin [1294]	$139	302%
First Choice [528]	$139	302%
Asuris [1258]	$141	306%
Operating Engineers [1144]	$141	306%
Regence [1351]	$141 - $148	306%
Cigna	$145 - $148	315%
Coventry First Health Managed Care [1774]	$145	315%
Coventry Health [1046]	$145	315%
Providence Health Plan Plm Alt [1692]	$145	315%
Providence Health Plan [567]	$145	315%
Aetna	$148	321%
Employee Bene Admin Mgmt [525]	$148	321%
Geha [531]	$148	321%
Mailhandlers Benefit Pln [547]	$148	321%
Meritain [550]	$148	321%
Nw Sheet Metal Workers [597]	$148	321%
Trustmark [524]	$148	321%
UnitedHealthcare	$148	321%
Zenith Administrators [586]	$148	321%
Allcare Alt [2598]	$300	651%
Allcare [1695]	$300	651%

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 $148.
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 Curry General Hospital 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.