CMS Price Transparency Data

Orthotic fitting and training

Facility: Trident Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $61
  • Cash Discount Price: $446
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Trident Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $446. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.32x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$446

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $446 (968%)
Insurance Median: $61 (132%)
Cash: $446 (968% of Medicare)
Ins. Median: $61 (132% 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
Absolute Total Care $39 - $85 85%
Advantage Hospice $39 - $44 85%
Aetna $39 - $222 85%
Agape Hospice $39 - $44 85%
Arcadian $39 - $44 85%
Blue Cross Blue Shield $39 - $446 85%
Companion $39 - $44 85%
Devoted Health $39 - $44 85%
Humana $39 - $352 85%
Molina $39 - $85 85%
Odyssey Hospice $39 - $44 85%
United $39 - $212 85%
United Behavioral Health $39 - $44 85%
Wellcare $39 - $45 85%
Boldage Pace $40 - $45 87%
Clover $40 - $46 87%
Eon Health $40 - $46 87%
Cigna $42 - $47 91%
Blue Choice Health Plan $45 98%
Universal Healthcare Group $46 - $53 100%
Sc State Employees $47 102%
Corvel Corporation $53 - $60 115%
Employer'S Health Network $53 - $60 115%
Prime Health $53 - $400 115%
Heritage Summit $57 - $64 124%
Blue Choice $61 132%
Seven Corners $68 - $77 148%
Nhc Advantage $80 - $89 174%
Pruitt Health $80 - $89 174%
Naphcare $81 - $92 176%
Medcost $161 - $264 349%
Select Health $181 - $202 393%
Employers Health Network $189 - $212 410%
Occunet $210 - $235 456%
Vocational Rehab $227 - $254 493%
First Health $307 - $343 666%
Mhnet $316 - $352 686%
Evernorth $337 - $376 731%
Multiplan $358 - $400 777%
Novanet $379 - $423 822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals