Orthotic fitting and training
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $89
- Cash Discount Price: $129
- vs. Medicare Baseline: 1.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Missouri Healthnet | $27 - $64 | 59% |
| Aetna | $35 - $43 | 76% |
| Home State Health Plan | $41 | 89% |
| United Community Of Missouri | $41 | 89% |
| Healthy Blue Missouri | $41 | 89% |
| Healthy Blue Kansas | $43 | 93% |
| Blue Cross Blue Shield | $43 - $143 | 93% |
| Medicaid / KanCare | $43 - $81 | 93% |
| United | $43 - $115 | 93% |
| Ilumed Aco Reach | $43 | 93% |
| Humana | $43 | 93% |
| Velocity | $52 - $178 | 113% |
| Prime Health Services | $56 - $202 | 122% |
| Americas Choice Provider Network | $71 - $166 | 154% |
| Usa Managed Care Organization | $76 - $178 | 165% |
| Provider Network Of America | $76 - $178 | 165% |
| Quiktrip Corporation | $76 - $178 | 165% |
| Multiplan-Phcs | $81 - $190 | 176% |
| Medincrease | $92 - $214 | 200% |
| Cigna | $104 | 226% |
| Providrs Care | $115 | 250% |
Consumer Guidance & Cost Commentary
For the CPT code 97760, representing orthotic fitting and training, the cash price at the Rehabilitation Hospital Of Overland Park is $129.00. This cash rate is significantly higher than the Medicare benchmark of $46.09, which serves as the federal baseline for this service. While the facility's cash price exceeds the Medicare amount, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. For instance, Blue Cross Blue Shield has a negotiated range of $43 to $143 across ten plans, and Prime Health Services ranges from $56 to $202 across eight plans. In these cases, paying cash directly could result in lower out-of-pocket costs compared to using insurance, provided the patient has met their deductible.
Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among payers. For example, Missouri Healthnet has a low end of $27, while Velocity ranges from $52 to $177 across seven plans. To potentially reduce costs, patients are encouraged to ask the hospital about "self-pay" or "prompt-pay" discounts, which can offer fee reductions of 20% to 50% for upfront payment. Additionally, if a patient receives a bill from an out-of-network provider at this facility, they may be subject to balance billing for the difference between the provider's charge and the insurance allowed amount, though the No Surprises Act protects against such billing for non-emergency services at in-network facilities.