CMS Price Transparency Data

Orthotic fitting and training

Facility: Arbor Health Morton Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $72
Cash Discount Price: $79
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Arbor Health Morton Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.56x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $79 (171%)

Insurance Median: $72 (156%)

Cash: $79 (171% of Medicare)

Ins. Median: $72 (156% 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
Amerigroup-All Other Plans	$28 - $77	61%
Comm Health Healthy Options	$28 - $72	61%
Kaiser Mcaid	$28 - $72	61%
Molina Mcaid	$28 - $139	61%
UnitedHealthcare	$28 - $134	61%
Comm Health Basic Sub - All Other Plans	$34 - $143	74%
Aetna	$48 - $148	104%
Amerigroup Mcr Adv	$48 - $77	104%
Comm Health Mcr Adv	$48 - $77	104%
Healthnet Mcr Adv - All Plans	$48 - $77	104%
Humana	$48 - $77	104%
Mcr Railroad Mcr Adv - All Plans	$48 - $77	104%
Medicare (plans)	$48 - $77	104%
Premera Hmo Mcr Adv	$48 - $77	104%
Regence Blue Shield Mcr Adv	$48 - $78	104%
Rural Health Mcare - All Plans	$48 - $77	104%
Molina Mcr Adv	$50 - $81	108%
Wellcare Mcr Adv - All Plans	$50 - $81	108%
Comm Health Pebb	$51 - $143	111%
Molina Marketplace-All Other Plans	$53 - $99	115%
Regence Blue Shield Ump-All Other Plans	$62 - $118	135%
First Choice-All Plans	$66 - $156	143%
Kaiser Comm-All Other Plans	$67 - $132	145%
Premera First-All Other Plans	$79 - $151	171%
Cigna	$82 - $156	178%

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 $79.
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 Arbor Health Morton 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.