CMS Price Transparency Data

Orthotic fitting and training

Facility: Snoqualmie Valley Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $64
Cash Discount Price: $82
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Snoqualmie Valley Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.39x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $82 (178%)

Insurance Median: $64 (139%)

Cash: $82 (178% of Medicare)

Ins. Median: $64 (139% 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
Aetna	$58 - $84	126%
Amerigroup Wellpoint	$58 - $71	126%
Blue Shield Of Wa Regence Mcr Adv	$58 - $61	126%
Community Health Plan Of Wa	$58 - $62	126%
Humana	$58 - $61	126%
Medicare (plans)	$58 - $61	126%
Molina Healthcare Of Washington Mcr Adv	$58 - $61	126%
Molina Healthcare Of Washington	$59 - $62	128%
UnitedHealthcare	$59 - $133	128%
Washington Coordinated Care	$59 - $73	128%
Community Health Plan Of Wa Mcd Rep	$64 - $67	139%
Medicaid / KanCare	$64 - $67	139%
Molina Healthcare Of Washington Mcd Rep	$69 - $73	150%
Blue Cross Blue Shield	$82 - $86	178%
Blue Shield Of Wa Regence	$82 - $86	178%
Kaiser Foundation Health Plan Of The Northwest	$86 - $91	187%
First Choice Health Network	$96 - $101	208%
Cigna	$110 - $115	239%

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 $82.
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 Snoqualmie Valley 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.