CMS Price Transparency Data

Orthotic fitting and training

Facility: Bellville Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $51
Cash Discount Price: $158
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Bellville Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.11x the Medicare baseline. Located in 44 N Cummings St, Bellville, TX.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $158 (343%)

Insurance Median: $51 (111%)

Cash: $158 (343% of Medicare)

Ins. Median: $51 (111% 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	$38 - $51	82%
Amerigroup	$38	82%
Blue Cross Blue Shield	$38 - $111	82%
Community Health	$38 - $51	82%
Molina	$38 - $51	82%
Multiplan	$38	82%
Scott & White	$38 - $120	82%
Superior	$38 - $51	82%
Tesas Children'S Health Plan	$38	82%
United	$38 - $140	82%
Cigna	$82 - $111	178%
Triwest	$100 - $136	217%
Healthsmart	$107 - $146	232%

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 $158.
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 Bellville 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.