CMS Price Transparency Data

Orthotic fitting and training

Facility: Medical City Arlington

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $48
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Medical City Arlington is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.04x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $295 (640%)
Insurance Median: $48 (104%)
Cash: $295 (640% of Medicare)
Ins. Median: $48 (104% 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 $21 - $48 46%
Aetna $40 - $214 87%
Amerigroup $40 - $46 87%
Blue Cross Blue Shield $40 - $260 87%
Cigna $40 - $47 87%
Devoted Health $40 - $46 87%
Humana $40 - $328 87%
Mutual Of Omaha $40 - $46 87%
Triwest Veterans $40 - $46 87%
United $40 - $55 87%
Wellmed $40 - $46 87%
Care N Care $41 - $46 89%
American Health Plan Of Texas, Inc. $42 - $48 91%
Integranet $42 - $47 91%
Procare Advantge $42 - $48 91%
Wellcare $42 - $47 91%
Provider Partners Health Plan $43 - $49 93%
Texas Independent Health Plan $43 - $49 93%
Imperial Insurance Company $44 - $50 95%
Molina $44 - $50 95%
Triwest Health Alliance $46 100%
Universal Healthcare Group $48 - $55 104%
Verda Health Plan $52 - $60 113%
Unicare $56 - $295 122%
Bravo Health $60 - $69 130%
Oscar $61 132%
Superior $72 - $103 156%
Usa Managed Care $77 - $236 167%
Corvel Corporation $80 - $91 174%
Healthcare Highways $100 217%
Molina Healthcare $106 - $120 230%
City Of Mckinney $133 289%
Fidelis Securecare $133 289%
Global Sports Services $147 319%
National Choicecare $147 319%
Pc Texas Partners $162 351%
Physicians Coop Of Tx $162 351%
Rockport Health Group $162 351%
Averde Health, Inc $171 371%
Coastal Comp Health Networks $206 447%
Mega Life $206 447%
Multiplan Phcs $206 447%
Healthsmart Preferred Care $209 453%
Lewisville Isd/Dls Consulting $221 479%
Usc Health Services $236 512%
Galaxy Health Network $251 545%
Texas Instruments $265 575%
Independent Medical Systems $295 640%
National Healthcare Solutions $295 640%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals