Orthotic fitting and training
Facility: Baylor Scott and White Medical Center Frisco at Pg
Billing Code: 97760 (CPT)
This hospital's typical commercial price is $149 compared to the $87 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
A fair price for a Orthotic fitting and training is about $87 (about 1.9× the $46 Medicare rate). Baylor Scott and White Medical Center Frisco at Pg charges insurers about $149, or about $136 in cash — above the fair price. Located in Frisco, TX.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $87. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $112 - $124 | 243% |
| Blue Cross Blue Shieldmajor | $149 - $315 | 323% |
| Aetnamajor | $108 - $136 | 234% |
| Cignamajor | $134 - $158 | 291% |
| Humanamajor | $159 | 345% |
| Ambetter (Centene) | $148 | 321% |
| Baylor Scott & White | $112 - $132 | 243% |
| Health Net | $107 - $125 | 232% |
| + 4 smaller / regional plans | $125 - $170 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Baylor Scott and White Medical Center Frisco at Pg
Compare: Orthotic fitting and training at other TX hospitals
- Winkler County Memorial Hospital · Kermit $29
- PAM Specialty Hospital of Texarkana North · Texarkana $30
- Parkland Health & Hospital System · Dallas $31
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $31
- PAM Health Rehabilitation Hospital of El Paso · El Paso $31
- Cook Childrens Medical Center · Fort Worth $37
- Bellville Medical Center · Bellville $38
- El Campo Memorial Hospital · El Campo $38
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Baylor Scott and White Medical Center Frisco at Pg (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $82
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $82).
Self-Pay Cash Rate ($136) Beats Your Bill
Baylor Scott and White Medical Center Frisco at Pg's published 45 CFR § 180 self-pay cash rate is $136 (vs. $149 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $87 Fair BaseRate ($46 Medicare)
Your bill ($227) is $140 above the denoised Fair BaseRate ($87) and 4.9× the $46 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.