CMS Price Transparency Data

Orthotic fitting and training

Facility: Freestone Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $46
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Freestone Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.00x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $108 (234%)
Insurance Median: $46 (100%)
Cash: $108 (234% of Medicare)
Ins. Median: $46 (100% 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
Blue Cross Blue Shield $20 - $176 43%
Mcaid $32 69%
Misc Mcaid Hmo $32 - $46 69%
Superior Health Chip $32 69%
Tx Childrens Mcaid $32 69%
UnitedHealthcare $32 - $46 69%
Amerigroup $42 - $46 91%
Medicaid / KanCare $43 - $71 93%
Rightcare S&W Mcaid $43 - $46 93%
Superior Health Mcd $43 - $71 93%
Aarp Mcare /Wellmed $44 95%
Aetna $44 - $124 95%
Allwell Superior Hlth $44 95%
Ambetter / Centene $44 95%
Care Improvement Plus $44 95%
Humana $44 - $154 95%
Medicare (plans) $44 95%
Misc Mcare Replacement $44 95%
Pphp Prov Part Hlth Plan $44 95%
Scott & White Senior Care $44 95%
Superior Hlth Mcare Repl $44 95%
Tricare $44 - $46 95%
Triwest Va Ccn Claims $44 - $46 95%
Utmb Corr Mgd Care $44 95%
Va Vha Office Comm Care $44 95%
Wellmed $44 95%
Champva $46 100%
Triwest $46 100%
Veteran'S Administration $46 100%
Scott & White Commercial $57 124%
Scott & White Employees $57 124%
Gilsbar $77 - $154 167%
Workers Compensation $92 200%
Cigna $93 202%
Misc Multiplan $108 234%
Misc Multiplan Auto $108 234%
Misc Multiplan Workcomp $108 234%
Self Pay Gt 083123 $108 234%
Self Pay Lt 090123 $108 234%
Aflac $154 334%
Bankers Life $154 334%
Fairview Nursing Home $154 334%
Icare $154 334%
Inmate Freestone Co $154 334%
Misc Hospice $154 334%
Miscellaneous $154 334%
Miscellaneous Auto $154 334%
Mutual Of Omaha $154 334%
North American Med Empl $154 334%
Standard Life Insurance $154 334%
Tml $154 334%
Zelis Healthcare $154 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals