CMS Price Transparency Data

Orthotic fitting and training

Facility: Lewisgale Hospital Alleghany

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $46
Cash Discount Price: $173
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Lewisgale Hospital Alleghany is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.00x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$173

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: $173 (375%)

Insurance Median: $46 (100%)

Cash: $173 (375% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Lifeworks	$33	72%
Universal Healthcare Group	$38	82%
Triatlantic	$39	85%
Devoted	$40 - $46	87%
Sentara Health	$40 - $46	87%
United Behavioral Health	$40 - $46	87%
United	$40 - $78	87%
Humana	$40 - $46	87%
Aetna	$40 - $93	87%
Good Samaritan Hospice	$40 - $46	87%
United Mine Workers	$40 - $46	87%
Virginia Premier Health	$41 - $46	89%
Health Net	$41	89%
Blue Cross Blue Shield	$41 - $47	89%
Clear Spring Health Plan	$42 - $48	91%
Cigna	$42 - $47	91%
Align Senior Care	$43 - $49	93%
Virginia Health Network	$61 - $123	132%
Greenbrier Sporting Club	$63	137%
Greenvbrier Sporting Club	$104	226%
Corvel	$125	271%
Occunet Workers Comp	$138	299%
Csx Hotels	$138	299%
Health Payors Organization	$147	319%
4Most	$156	338%
Alleghany Highland Community	$156	338%
Community Care Network	$156	338%
One Health Plan	$156	338%
Multiplan	$156	338%
C&O Employees Hospital Assn	$156	338%
American Postal Workers Union	$156	338%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $173.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Hospital Alleghany is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.