CMS Price Transparency Data

Orthotic fitting and training

Facility: Columbus Community Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $66
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Columbus Community Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.43x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $126 (273%)
Insurance Median: $66 (143%)
Cash: $126 (273% of Medicare)
Ins. Median: $66 (143% 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.

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
Alliance $61 - $166 132%
Blue Cross Blue Shield $61 - $176 132%
Dean Health Plan $61 - $199 132%
Icare $61 - $66 132%
My Choice Wisconsin $61 - $66 132%
Quartz $61 - $150 132%
Security Health Plan $61 - $171 132%
UnitedHealthcare $61 - $190 132%
Cigna $137 297%
Health Payment Systems $172 373%
Trilogy $188 408%
Wps $193 419%
Healtheos $199 - $213 432%
First Health $202 438%
Humana $206 447%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Park Ave, Columbus, WI 53925
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals