CMS Price Transparency Data

Orthotic fitting and training

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $85
Cash Discount Price: $114
vs. Medicare Baseline: 1.84x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Univ. of Vermont - Fletcher Allen Health Care is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.84x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $114 (247%)

Insurance Median: $85 (184%)

Cash: $114 (247% of Medicare)

Ins. Median: $85 (184% 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
UnitedHealthcare	$16 - $220	35%
Blue Cross Blue Shield	$32 - $179	69%
Humana	$32 - $46	69%
Mvp	$39 - $179	85%
Fidelis Care	$41 - $92	89%
Aetna	$46 - $52	100%
Capital District Physicians' Health Plan	$46 - $90	100%
Martins Point	$46	100%
St. Regis	$46	100%
Veterans Affairs Community Care Network	$46	100%
Wellpath	$63 - $109	137%
Harvard Pilgrim	$91 - $158	197%
Magnacare	$91 - $158	197%
Coventry	$97 - $168	210%
Ebpa	$98 - $152	213%
Cigna	$103 - $179	223%
Nppn	$103 - $178	223%

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 $114.
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 Univ. of Vermont - Fletcher Allen Health Care 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.