Orthotic fitting and training
Facility: Chester County Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $88
- Cash Discount Price: $248
- vs. Medicare Baseline: 1.91x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Health Partners | $32 - $248 | 69% |
| UnitedHealthcare | $40 - $163 | 87% |
| Hospice Vna | $48 | 104% |
| Medicare (plans) | $48 - $49 | 104% |
| Primecare Medical | $48 | 104% |
| Tricare | $48 | 104% |
| Us Family Health Plan | $48 | 104% |
| Va Medical Center | $48 | 104% |
| Cigna | $49 - $248 | 106% |
| Humana | $49 | 106% |
| Devoted Health | $50 | 108% |
| Keystone First | $50 | 108% |
| Pa Health And Wellness | $50 - $79 | 108% |
| Aetna | $51 - $153 | 111% |
| Clover Health Plan | $51 | 111% |
| Mva Insurance | $52 | 113% |
| Keystone First Vip Choice | $53 | 115% |
| Ibc | $57 - $64 | 124% |
| Keystone Hmo Proactive | $57 | 124% |
| Pgm - Regie De L'Assurance Maladie Quebec | $57 | 124% |
| Gateway | $59 | 128% |
| Medicaid / KanCare | $62 - $248 | 135% |
| Elap | $68 | 148% |
| Todays Option | $69 | 150% |
| Claims Watcher | $76 - $86 | 165% |
| Preferred Health Care Eliance | $77 | 167% |
| Oscar Health Plan | $81 | 176% |
| Centivo | $86 | 187% |
| Pgm - Kuwait Defense | $87 - $112 | 189% |
| Elap Services | $89 | 193% |
| Qualcare | $94 | 204% |
| Highmark | $98 | 213% |
| Pgm - Chop | $99 | 215% |
| Penn Global Medicine | $126 | 273% |
| Medrisk | $130 - $248 | 282% |
| Pgm - Royal Embassy Of Saudi Arabia | $149 | 323% |
| Geisinger Health Plan | $151 | 328% |
| Pgm - Embassy Of Qatar | $161 | 349% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $161 | 349% |
| Pgm - Embassy Of The United Emirates/Ipc | $174 | 378% |
| Healthamerica/Coventry | $186 | 404% |
| Pgm - Kuwait Health Division | $198 | 430% |
| Pgm - Kuwait Oil | $198 | 430% |
| Preferred Health Care | $198 | 430% |
| Intergroup | $211 | 458% |
| Olympus | $217 | 471% |
| International Pfs | $248 | 538% |
| La Comunidad Hispana | $248 | 538% |
| Not Adjusted | $248 | 538% |
| Workers Compensation | $248 | 538% |