CMS Price Transparency Data

Orthotic fitting and training

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $91
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at University of Texas M. D. Anderson Cancer Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.97x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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%)

Insurance Median: $91 (197%)

Ins. Median: $91 (197% 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
Texaschildrens	$32 - $53	69%
Tricare	$39 - $91	85%
Medicare (plans)	$53	115%
Vacare	$53	115%
Cigna	$59 - $202	128%
Aetna	$66 - $111	143%
Memorialhermannhealth	$79 - $178	171%
Blue Cross Blue Shield	$85 - $96	184%
UnitedHealthcare	$85 - $178	184%
Humana	$90 - $198	195%
Ontarioministriesofhealth	$90 - $176	195%
Beijingst.Lucia	$91 - $178	197%
Embassyofqatar	$91 - $178	197%
Emergingtherapysolutions	$91 - $97	197%
Interlink	$91 - $103	197%
Emergingtherapysolutions_Cancercare	$97 - $190	210%
Interlink_Cancercare	$97 - $190	210%
Saudiarmedforces	$97 - $190	210%
Uae_Medical	$97 - $190	210%
Uaepoliceattache	$97 - $190	210%
Healthsmart	$103 - $202	223%
Multiplan	$103 - $214	223%
Phcs	$103 - $214	223%
Vantage	$103 - $202	223%

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 $X.
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 University of Texas M. D. Anderson Cancer Center 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.