CMS Price Transparency Data

Orthotic fitting and training

Facility: Brattleboro Memorial Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $91
Cash Discount Price: $113
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Brattleboro Memorial Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.97x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $113 (245%)

Insurance Median: $91 (197%)

Cash: $113 (245% of Medicare)

Ins. Median: $91 (197% 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
Blue Cross Blue Shield	$36 - $145	78%
Vermont Health Plan	$36 - $144	78%
Amerihealth-Caritas	$40	87%
New Hampshire Healthy Families	$40	87%
Wellsense	$40 - $49	87%
Cigna	$46 - $153	100%
Harvard Pilgrim Health Care	$46 - $140	100%
Humana	$46	100%
Martin'S Point	$46	100%
Mvp Healthcare	$46 - $145	100%
UnitedHealthcare	$46 - $153	100%
New Hampshire Healthy Families (Wellcare)	$48	104%
Multiplan	$55 - $156	119%
Tufts Health Plan	$95 - $147	206%
Aetna	$156	338%
Coventry	$156	338%
Health New England	$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 $113.
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 Brattleboro Memorial Hospital 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.