CMS Price Transparency Data
Orthotic fitting and training
Facility: Cannon Memorial Hospital
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $69
- Cash Discount Price: $70
- vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Cannon Memorial Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.50x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$70
Average discount available for prompt cash payment at this facility.
Insurance Median
$69
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: $70 (152%)
Insurance Median: $69 (150%)
Cash: $70 (152% of Medicare)
Ins. Median: $69 (150% 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 |
|---|---|---|
| Medicaid / KanCare | $24 - $174 | 52% |
| Absolute Total Care [58] | $25 - $174 | 54% |
| Humana | $26 - $174 | 56% |
| Select Health Of Sc [637] | $28 - $166 | 61% |
| Planned Administrators [886] | $30 - $84 | 65% |
| Cigna | $39 - $165 | 85% |
| Nalc Health Benefit Plan [291] | $39 - $98 | 85% |
| Employee Benefit Management Services [869] | $42 - $63 | 91% |
| Aetna | $43 - $94 | 93% |
| Blue Choice Health Plan [922] | $43 - $95 | 93% |
| Blue Cross Blue Shield | $43 - $157 | 93% |
| Geha [302] | $43 - $88 | 93% |
| Golden Rule Ins Co [584] | $43 - $88 | 93% |
| Medicare (plans) | $43 - $165 | 93% |
| UnitedHealthcare | $43 - $165 | 93% |
| Vaccn - Va Community Care Network [16] | $43 | 93% |
| Veterans Administration [633] | $43 | 93% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $44 | 95% |
| Absolute Total Care Mcr Plans [41] | $44 | 95% |
| Devoted Health Alt Payer [9401] | $44 | 95% |
| Devoted Health [94] | $44 | 95% |
| Molina Dual Options Alt Payer [1501] | $44 | 95% |
| Molina Dual Options [15] | $44 | 95% |
| Champva [604] | $45 | 98% |
| First Choice Vip Careplus Alt Payer [3301] | $45 | 98% |
| First Choice Vip [33] | $45 | 98% |
| Nhc Advantage Alt Payer [6101] | $45 | 98% |
| Nhc Advantage [61] | $45 | 98% |
| Tricare | $45 | 98% |
| Thomas Cooper & Company [315] | $49 - $84 | 106% |
| Bright Health Alt Payer [1001] | $50 | 108% |
| Bright Health [11] | $59 | 128% |
| Ambetter / Centene | $61 | 132% |
| First Choice Next [96] | $62 | 135% |
| Molina Marketplace [97] | $62 | 135% |
| Mail Handlers Benefit Plan [327] | $69 - $94 | 150% |
| Rural Carrier Benefit Plan [406] | $69 - $94 | 150% |
| Workers Compensation [622] | $70 | 152% |
| Edison Health Solutions [95] | $75 | 163% |
| Healthscope [98] | $75 | 163% |
| Preferred Administrators [19] | $79 - $99 | 171% |
| Medcost [206] | $80 - $148 | 174% |
| Phcs [940] | $81 - $115 | 176% |
| Coventry Health [245] | $94 - $119 | 204% |
| Other Hospital Payers [1991] | $112 - $165 | 243% |
| American Continental Ins [778] | $150 - $165 | 325% |
| American Republic Life Ins [722] | $150 - $165 | 325% |
| Business Office [6000] | $150 - $165 | 325% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $150 - $165 | 325% |
| First Health [946] | $150 - $165 | 325% |
| Guarantee Trust Life Insurance [236] | $150 - $165 | 325% |
| Home Health Infusion Payer [6001] | $150 - $165 | 325% |
| Manhattan Life Ins Co [932] | $150 - $165 | 325% |
| Miscellaneous Commercial [1] | $150 - $165 | 325% |
| New Era Life Ins Co [437] | $150 - $165 | 325% |
| Non-Contracted [22] | $150 - $165 | 325% |
| Physicians Mutual [773] | $150 - $165 | 325% |
| Reference Based Pricing/Limited Plan [21] | $150 - $165 | 325% |
| State Farm Ins Co [373] | $150 - $165 | 325% |
| Sterling Investors Life [244] | $150 - $165 | 325% |
| Supermed/Med Mutual Of Ohio [539] | $150 - $165 | 325% |
| United American Ins Co [277] | $150 - $165 | 325% |