Orthotic fitting and training
Facility: Watsonville Community Hospital
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $153
- Cash Discount Price: $131
- vs. Medicare Baseline: 3.32x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 332% of the Medicare baseline (a markup of 232%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Victim Compensation Plan | $39 - $219 | 85% |
| Medicruz | $39 | 85% |
| Blue Cross Blue Shield | $44 - $195 | 95% |
| Health Net Pmg HMO | $44 - $137 | 95% |
| UnitedHealthcare | $44 - $131 | 95% |
| Aetna | $44 - $179 | 95% |
| Blue Shield HMO | $44 | 95% |
| Pacificare HMO | $44 - $131 | 95% |
| Cigna | $44 - $153 | 95% |
| Secure Horizons Dign HMO | $44 - $53 | 95% |
| Great-West/Phcs | $44 - $153 | 95% |
| Blue Shield PPO | $53 | 115% |
| Ace-Usa | $53 | 115% |
| Alignment Health Plan | $53 | 115% |
| Miscellaneous Work Comp | $53 | 115% |
| Travelers Insurance | $53 - $219 | 115% |
| Gallagher Bassett Svcs | $53 | 115% |
| Secure Horizons | $53 | 115% |
| Pinnacle Healthcare Uc | $53 | 115% |
| U.S. Dept. of Labor | $53 | 115% |
| Republic Idemnity W/Comp | $53 | 115% |
| Workers Comp | $53 | 115% |
| Beta Healthcare Group | $53 | 115% |
| Tricare | $53 | 115% |
| Hartford Workers' Comp | $53 | 115% |
| Crawford & Co | $53 | 115% |
| Veterans Administration | $53 | 115% |
| Kemper Group Workers Comp | $53 | 115% |
| Western Growers Work Comp | $53 | 115% |
| Fleming & Associates | $53 | 115% |
| Fireman's Fund Work Comp | $53 | 115% |
| Liberty Mutual Work Comp | $53 | 115% |
| Keenan & Assoc Work Comp | $53 | 115% |
| Health Net of California | $53 - $137 | 115% |
| Medicare (plans) | $53 | 115% |
| Pinnacle Claims Tpa/Bc | $88 - $195 | 191% |
| Western Growers Trust/Bc | $88 - $195 | 191% |
| Western Health Advantage | $109 | 236% |
| Pacificare PPO | $131 | 284% |
| Self Pay | $131 | 284% |
| Health Net Smartcare Netw | $131 | 284% |
| Health Net Blue and Gold | $137 | 297% |
| Health Net Canopycare HMO | $137 | 297% |
| Adventist Risk Management | $153 - $175 | 332% |
| Transwestern | $153 - $175 | 332% |
| First Health | $153 - $175 | 332% |
| Geha (Ccn) | $153 - $175 | 332% |
| Multiplan Inc PPO | $171 | 371% |
| Private Healthcare System | $171 | 371% |
| Kaiser Northern | $176 | 382% |
| Coastal Healthcare Admin | $186 - $197 | 404% |
| Salinas Valley Mem Hops | $186 | 404% |
| Monterey Bay Pub Emp Trst | $190 - $195 | 412% |
| Laborers Health & Welfare | $190 - $195 | 412% |
| Delta Health Systems | $190 - $195 | 412% |
| State Compensation Fund | $190 - $195 | 412% |
| Sheet Metal Workers | $190 - $195 | 412% |
| Operating Engineers | $190 - $195 | 412% |
| Carpenters H&W Trust | $190 - $195 | 412% |
| Robert Kennedy/Ccn | $190 - $195 | 412% |
| Teamsters Benefit Trust | $190 - $195 | 412% |
| Claims Management Wc | $190 - $195 | 412% |
| Calif Ironworkers Field | $190 - $195 | 412% |
| City of Wats/Pinnacle Clm | $190 - $195 | 412% |
| North Calif Bakery Driver | $219 | 475% |
| United Administrative | $219 | 475% |
| Miscellaneous Auto | $219 | 475% |
| Prucare Pmg POS | $219 | 475% |
| Miscellaneous Insurance | $219 | 475% |
| Zenith National Ins | $219 | 475% |
| Farmers Insurance | $219 | 475% |
| Physicians Mutual | $219 | 475% |
| Apwu Health Plan | $219 | 475% |
| Wholesale Beer Distributo | $219 | 475% |
| Allstate | $219 | 475% |
| Sutter Health Plus | $219 | 475% |
| Humana | $219 | 475% |
| Aaa | $219 | 475% |
| State Farm Ins | $219 | 475% |
| Bankers Life & Casualty | $219 | 475% |
| Aarp | $219 | 475% |
| Well Path | $219 | 475% |
| Prucare Pmg HMO | $219 | 475% |