CMS Price Transparency Data

Orthotic fitting and training

Facility: Colleton Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $50
  • Cash Discount Price: $319
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Colleton Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.08x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$319

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $319 (692%)
Insurance Median: $50 (108%)
Cash: $319 (692% of Medicare)
Ins. Median: $50 (108% 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
Arcadian $38 - $45 82%
Blue Cross Blue Shield $38 - $331 82%
Devoted Health $38 - $45 82%
Humana $38 - $313 82%
Odyssey Hospice $38 - $45 82%
United $38 - $185 82%
United Behavioral Health $38 - $45 82%
Absolute Total Care $39 - $63 85%
Aetna $39 - $201 85%
Boldage Pace $39 - $46 85%
Molina $39 - $63 85%
Wellcare $39 - $46 85%
Clover $40 - $47 87%
Eon Health $40 - $47 87%
Cigna $41 - $225 89%
Align Networks $43 - $50 93%
Universal Healthcare Group $46 - $54 100%
Sc State Employees $47 102%
Corvel Corporation $52 - $62 113%
Employer'S Health Network $52 - $62 113%
Prime Health $52 - $296 113%
Heritage Summit $56 - $66 122%
Nhc Advantage $60 - $66 130%
Pruitt Health $60 - $66 130%
Blue Choice $61 132%
Seven Corners $67 - $79 145%
Medical Development $80 - $94 174%
Naphcare $80 - $94 174%
Select Health $136 - $150 295%
Employers Health Network $142 - $157 308%
Value Option $158 - $174 343%
Vocational Rehab $171 - $188 371%
Medcost $178 - $254 386%
Mhnet $237 - $261 514%
Evernorth $253 - $278 549%
Multiplan $269 - $296 584%
North American Administrators $269 - $296 584%
First Health $284 - $313 616%
Novanet $284 - $313 616%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals