CMS Price Transparency Data

Orthotic fitting and training

Facility: Medical City Las Colinas

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $54
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Medical City Las Colinas is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.17x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $382 (829%)
Insurance Median: $54 (117%)
Cash: $382 (829% of Medicare)
Ins. Median: $54 (117% 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 $16 - $48 35%
Aetna $31 - $391 67%
Cigna $31 - $75 67%
Wellmed $40 - $46 87%
Amerigroup $41 - $46 89%
Blue Cross Blue Shield $41 - $260 89%
Care N Care $41 - $47 89%
Devoted Health $41 - $46 89%
Humana $41 - $328 89%
Mutual Of Omaha $41 - $46 89%
Triwest Veterans $41 - $46 89%
United $41 - $95 89%
Integranet $42 - $47 91%
Wellcare $42 - $47 91%
American Health Plan Of Texas, Inc. $43 - $48 93%
Procare Advantge $43 - $48 93%
Provider Partners Health Plan $43 - $49 93%
Texas Independent Health Plan $43 - $49 93%
Molina $44 - $50 95%
Imperial Insurance Company $45 - $51 98%
Triwest Health Alliance $46 100%
Oscar $48 - $111 104%
Universal Healthcare Group $49 - $55 106%
Verda Health Plan $53 - $60 115%
Bravo Health $61 - $69 132%
Superior $73 - $103 158%
Healthcare Highways $77 - $181 167%
Usa Managed Care $77 - $428 167%
Corvel Corporation $80 - $91 174%
Unicare $80 - $535 174%
City Of Mckinney $103 - $241 223%
Molina Healthcare $106 - $121 230%
National Choicecare $115 - $268 250%
Pc Texas Partners $126 - $294 273%
Physicians Coop Of Tx $126 - $294 273%
Rockport Health Group $126 - $294 273%
Averde Health, Inc $133 - $310 289%
Coastal Comp Health Networks $160 - $375 347%
Mega Life $160 - $375 347%
Multiplan Phcs $160 - $375 347%
Healthsmart Preferred Care $163 - $380 354%
Lewisville Isd/Dls Consulting $172 - $402 373%
Usc Health Services $183 - $428 397%
Galaxy Health Network $195 - $455 423%
Independent Medical Systems $229 - $535 497%
National Healthcare Solutions $229 - $535 497%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals