CMS Price Transparency Data

Orthotic fitting and training

Facility: Pullman Regional Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $33
Cash Discount Price: $34
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Pullman Regional Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 0.72x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $34 (74%)

Insurance Median: $33 (72%)

Cash: $34 (74% of Medicare)

Ins. Median: $33 (72% 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	$14 - $38	30%
Community Care Ntwrk Mcare-All Plans	$14	30%
Community Health Plan Mcaid-All Plans	$14	30%
Humana	$14	30%
Kaiser Mcare Advan	$14	30%
Medicaid / KanCare	$14	30%
Molina Hlthcare Mcaid-All Plans	$14	30%
Sterling Mcr Adv-All Plans	$14	30%
Triwest - All Plans	$14	30%
Wellcare Mcaid -All Other Plans	$14	30%
Wellpoint Mcaid - All Plans	$14	30%
Wellcare Mcr Adv	$15	33%
Idaho Dshs-All Plans	$16	35%
Premera First - All Plans	$29	63%
Single Case Agree - All Plans	$29	63%
First Choice Admin	$33	72%
Admin Wsu Student-All Plans	$34	74%
Multiplan - All Plans	$34	74%
Asuris Nw Hlth-All Plans	$36	78%
Cigna	$36	78%
First Choice - All Other Plans	$36	78%
Focus Hlthcare - All Plans	$36	78%
Northwest One - All Plans	$36	78%
UnitedHealthcare	$36	78%
Aetna	$38	82%
Great West Hlth-All Plans	$38	82%
Integrated Hp - All Plans	$38	82%
Spokane Phco - All Plans	$38	82%
Provider Network Of America-All Plans	$39	85%
Kaiser - All Other Plans	$92	200%

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 $34.
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 Pullman Regional 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.