CMS Price Transparency Data

Orthotic fitting and training

Facility: Knapp Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $45
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Knapp Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $44 (95%)
Insurance Median: $45 (98%)
Cash: $44 (95% of Medicare)
Ins. Median: $45 (98% 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
Corvel $31 67%
Zelis Healthcare Fka Stratose $33 72%
Provider Network Of America $36 78%
Provider Select $39 85%
Three Rivers $40 87%
Americas Choice Provider Network (Acpn) $43 93%
Division Of Immigration Health $44 95%
Blue Cross Blue Shield $45 - $176 98%
Cigna $45 - $46 98%
Coventry (First Health) $45 98%
Medicare (plans) $45 98%
Prime Health Services $45 98%
Superior Health Plan $45 - $58 98%
Texas Bluebonnet Health Plan $45 - $74 98%
Tricare $45 98%
UnitedHealthcare $45 98%
Veterans Evaluation Services $45 98%
Wellmed Aarp Ma Fka Physicians Health Choice $45 98%
Worker Comp $45 98%
Imperial Insurance Companies $47 102%
Molina $47 - $69 102%
Multiplan $47 102%
Provider Partners Health Plan $47 102%
Texas Oncology Pa Op $56 122%
Frontier Health (Fka Asserta Health) $58 126%
Magic Valley Electric Cooperative $58 126%
Employer Direct Healthcare $62 135%
Corporate Remedies (Wc) $67 145%
Naphcare $69 150%
Occunet $78 169%
Baker Benefits Administrators $89 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals