CMS Price Transparency Data

Orthotic fitting and training

Facility: Maury Regional Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $46
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Maury Regional Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.00x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $82 (178%)
Insurance Median: $46 (100%)
Cash: $82 (178% of Medicare)
Ins. Median: $46 (100% 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
Blue Cross Blue Shield $34 - $174 74%
Wellpoint $39 - $54 85%
Wellpoint Tci $39 85%
American Health Plans $44 - $46 95%
Cigna $44 95%
Farm Bureau Health Plans $44 95%
Humana $44 - $46 95%
Medicare (plans) $44 95%
UnitedHealthcare $44 - $45 95%
Aetna $46 - $158 100%
Nhc $46 100%
Wellcare Harmony Health $46 100%
Medrisk $65 141%
State Of Tennessee $65 141%
Occucomp $69 150%
Wayne County Jail $70 - $88 152%
Spnet $73 158%
Ambetter / Centene $77 - $111 167%
Onecall Medical $77 167%
Multiplan $111 - $140 241%
Phcs $111 - $140 241%
Oscar $113 245%
Lawrence County Jail $131 284%
Lewis County Jail $131 284%
Marshall County Jail $131 284%
Firsthealth $133 - $168 289%
Beech Street $140 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals