CMS Price Transparency Data

Orthotic fitting and training

Facility: Titus Regional Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $72
Cash Discount Price: $62
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Titus Regional Medical Center is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.56x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $62 (135%)

Insurance Median: $72 (156%)

Cash: $62 (135% of Medicare)

Ins. Median: $72 (156% 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
Aetna	$28 - $72	61%
Christus Health Plan	$32	69%
Humana	$32 - $72	69%
Tricare	$32	69%
Triwest	$32	69%
UnitedHealthcare	$32 - $103	69%
Texas Mutual	$33	72%
Curative	$35 - $62	76%
Blue Cross Blue Shield	$39 - $152	85%
Healthcare Highways	$40 - $64	87%
Superior	$46 - $59	100%
Claritev	$50 - $82	108%
Healthsmart	$71 - $91	154%
Cigna	$81 - $104	176%
Galaxy Health	$96 - $124	208%

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 $62.
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 Titus Regional Medical 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.