Orthotic fitting and training
Facility: Northern Louisiana Medical Center
Billing Code: 97760 (CPT)
- CPT Billing Code: 97760
- Insurance Median: $273
- Cash Discount Price: $151
- vs. Medicare Baseline: 5.92x 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 592% of the Medicare baseline (a markup of 492%). 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 |
|---|---|---|
| UnitedHealthcare | $20 - $165 | 43% |
| Aetna | $22 - $165 | 48% |
| Medicaid / KanCare | $22 - $275 | 48% |
| Blue Cross Blue Shield | $22 - $94 | 48% |
| Humana | $25 - $43 | 54% |
| Champus | $35 | 76% |
| Champva | $35 | 76% |
| Tricare | $35 - $42 | 76% |
| Vantage Advantage | $43 | 93% |
| Mutual of Omaha | $43 | 93% |
| Gulf South Services | $43 | 93% |
| VA | $43 | 93% |
| Veterans Evaluation Svcs | $43 | 93% |
| Medicare (plans) | $43 | 93% |
| First Health | $70 - $234 | 152% |
| Vantage Health Plan Ppaca | $82 | 178% |
| Vantage Health Plan | $86 | 187% |
| Golden Rule Ins | $102 - $165 | 221% |
| Verity Healthnet | $134 - $135 | 291% |
| Kaiser Permanente | $136 - $138 | 295% |
| Cigna | $136 - $138 | 295% |
| Self Pay | $150 - $151 | 325% |
| Gilsbar | $150 - $151 | 325% |
| Geha | $218 - $261 | 473% |
| PHCS | $232 - $234 | 503% |
| Multiplan | $232 - $234 | 503% |
| Work Comp City of Ruston | $246 - $248 | 534% |
| Workers Compensation | $246 - $248 | 534% |
| Work Comp Nlmc Emp | $246 - $248 | 534% |
| Work Comp First Health | $246 - $248 | 534% |
| Ruston Regional Specialty | $273 - $275 | 592% |
| Nalc Natl Assoc Ltr Carri | $273 - $275 | 592% |
| American Life Accident | $273 - $275 | 592% |
| Ltu Athletics | $273 - $275 | 592% |
| Healthfirst Tpa | $273 - $275 | 592% |
| McR American Hlth Adv | $273 - $275 | 592% |
| Sterling Investors Life | $273 - $275 | 592% |
| Premier Hospice | $273 - $275 | 592% |
| Washington National Ins | $273 - $275 | 592% |
| Nalc Health Benefit Plan | $273 - $275 | 592% |
| United American | $273 - $275 | 592% |
| Us Dept of Labor | $273 - $275 | 592% |
| Apwu Health Plan | $273 - $275 | 592% |
| Misc Commercial | $273 - $275 | 592% |
| Ltu Student Ins Bollinger | $273 - $275 | 592% |
| Lifecare Specialty Hosp | $273 - $275 | 592% |
| Newera | $273 - $275 | 592% |
| Hospice of Caring Hearts | $273 - $275 | 592% |
| State Mutual Ins | $273 - $275 | 592% |
| State Farm Insurance | $273 - $275 | 592% |
| Lin Parish Detention | $273 - $275 | 592% |
| Gsu Athletics | $273 - $275 | 592% |
| Mva Insurance Payors | $273 - $275 | 592% |
| Benefit Trust Life | $273 - $275 | 592% |
| Lincoln Kidney Center | $273 - $275 | 592% |
| The Hartford | $273 - $275 | 592% |
| Crime Victims Compensatio | $273 - $275 | 592% |
| Liberty Mutual Group | $273 - $275 | 592% |
| Union Fidelity Life Ins | $273 - $275 | 592% |
| Fox Everett Inc | $273 - $275 | 592% |
| Specialty Hosp of Winnfie | $273 - $275 | 592% |
| Industrial Accounts | $273 - $275 | 592% |
| Nlmc Community Services | $273 - $275 | 592% |
| United Teachers Ins | $273 - $275 | 592% |
| Physicians Mutual Ins | $273 - $275 | 592% |
| Ima Insurance | $273 - $275 | 592% |
| Guarantee Trust Life Ins | $273 - $275 | 592% |
| Protective Life Ins | $273 - $275 | 592% |
| Equitable | $273 - $275 | 592% |
| Union Bankers Insurance C | $273 - $275 | 592% |
| Bankers Life and Casualty | $273 - $275 | 592% |
| Aarp | $273 - $275 | 592% |
| Liberty Healthshare | $273 - $275 | 592% |
| Aflc American Family Life | $273 - $275 | 592% |
| Gmp Employers Retiree Tru | $273 - $275 | 592% |
| Principal Mutual Life Ins | $273 - $275 | 592% |