CMS Price Transparency Data

Orthotic fitting and training

Facility: Medical Center of McKinney

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $47
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Medical Center of McKinney is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.02x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $115 (250%)
Insurance Median: $47 (102%)
Cash: $115 (250% of Medicare)
Ins. Median: $47 (102% 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
Superior Health Plan $8 - $47 17%
Aetna $15 - $84 33%
Cigna $15 - $93 33%
United $21 - $45 46%
Oscar $24 52%
Unicare $30 - $116 65%
Amerigroup $39 - $45 85%
Blue Cross Blue Shield $39 - $260 85%
Devoted Health $39 - $45 85%
Healthcare Highways $39 85%
Humana $39 - $328 85%
Mutual Of Omaha $39 - $45 85%
Triwest Veterans $39 - $45 85%
Wellmed $39 - $44 85%
Care N Care $40 - $45 87%
City Of Mckinney $40 87%
Integranet $40 - $46 87%
Wellcare $40 - $46 87%
American Health Plan Of Texas, Inc. $41 - $47 89%
Procare Advantge $41 - $47 89%
Provider Partners Health Plan $42 - $47 91%
Texas Independent Health Plan $42 - $47 91%
Cenpatico $43 - $49 93%
Imperial Insurance Company $43 - $49 93%
Molina $43 - $49 93%
Universal Healthcare Group $47 - $54 102%
Fidelis Securecare $51 - $52 111%
Verda Health Plan $51 - $58 111%
National Choicecare $57 - $58 124%
Bravo Health $59 - $67 128%
Pc Texas Partners $63 - $64 137%
Physicians Coop Of Tx $63 - $64 137%
Rockport Health Group $63 - $64 137%
Averde Health, Inc $66 - $67 143%
Magellan Bh $69 150%
Value Options Behavioral Health $69 150%
Superior $70 - $100 152%
Usa Managed Care $75 - $93 163%
Corvel Corporation $78 - $88 169%
Coastal Comp Health Networks $80 - $81 174%
Mega Life $80 - $81 174%
Multiplan Phcs $80 - $81 174%
Lewisville Isd/Dls Consulting $86 - $87 187%
Compsych Corporation $91 - $93 197%
Healthsmart Preferred Care $91 - $93 197%
Galaxy Health Network $97 - $98 210%
Molina Healthcare $103 - $117 223%
Independent Medical Systems $114 - $116 247%
National Healthcare Solutions $114 - $116 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals