CMS Price Transparency Data

Orthotic fitting and training

Facility: Excela Health Latrobe Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $45
Cash Discount Price: $61
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Excela Health Latrobe Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $61 (132%)

Insurance Median: $45 (98%)

Cash: $61 (132% of Medicare)

Ins. Median: $45 (98% 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
Highmark Advantage Community Blue	$16 - $41	35%
Amerihealth Caritas	$18 - $46	39%
Cigna	$18 - $109	39%
Devoted	$18 - $46	39%
Geisinger	$18 - $46	39%
Health Partners Plan	$18 - $45	39%
Humana	$18 - $46	39%
Martin'S Point	$18 - $45	39%
Peak Health	$18 - $103	39%
United	$18 - $46	39%
Va	$18 - $44	39%
American Health Plan Of Pa	$19 - $48	41%
Highmark Wholecare	$19 - $48	41%
Pa Health And Wellness	$19 - $47	41%
Provider Network Of America	$19 - $81	41%
Provider Plan Partners Plan	$19 - $48	41%
The Health Plan Of West Virginia	$19 - $103	41%
UnitedHealthcare	$19 - $48	41%
Upmc	$19 - $47	41%
Upmc Health Plan	$20 - $58	43%
Highmark Children'S Health Insurance Program	$21 - $53	46%
Ambetter / Centene	$22 - $55	48%
Highmark	$24 - $97	52%
Velocity	$26 - $66	56%
Community Blue	$35 - $87	76%
Aetna	$45 - $101	98%

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 $61.
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 Excela Health Latrobe 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.