CMS Price Transparency Data
Orthotic fitting and training
Facility: Bmh-Calhoun
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $77
- Cash Discount Price: $79
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Bmh-Calhoun is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.67x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$79
Average discount available for prompt cash payment at this facility.
Insurance Median
$77
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: $79 (171%)
Insurance Median: $77 (167%)
Cash: $79 (171% of Medicare)
Ins. Median: $77 (167% 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 |
|---|---|---|
| PPO Holdings | $32 - $83 | 69% |
| Magnolia Regional Health Center | $34 - $87 | 74% |
| Tricare | $35 - $89 | 76% |
| Triwest | $37 - $94 | 80% |
| Ms Breast and Cervical | $37 - $94 | 80% |
| Molina | $37 - $173 | 80% |
| Vaccn | $37 - $94 | 80% |
| Devoted Health | $37 - $96 | 80% |
| Humana | $38 - $174 | 82% |
| Blue Cross Blue Shield | $38 - $97 | 82% |
| Aetna | $38 - $142 | 82% |
| American Health Plan | $38 - $98 | 82% |
| Primewell | $38 - $98 | 82% |
| Shared Health | $38 - $98 | 82% |
| Magnolia Ms | $42 - $107 | 91% |
| Littler | $42 - $109 | 91% |
| Cigna | $47 - $120 | 102% |
| First Choice Health Plan of Ms | $55 - $141 | 119% |
| First State Bank Trust | $62 - $159 | 135% |
| Burch Food Services | $62 - $159 | 135% |
| W G Yates | $66 - $169 | 143% |
| Eas Mssc Schools | $66 - $169 | 143% |
| Radians | $66 - $169 | 143% |
| Rei Nation | $66 - $169 | 143% |
| Carlisle | $66 - $169 | 143% |
| French Camp Academy | $66 - $169 | 143% |
| Cannon Motor Company | $66 - $169 | 143% |
| Mechanical Systems | $66 - $169 | 143% |
| City of Bartlett | $66 - $169 | 143% |
| Lakeland School System | $66 - $169 | 143% |
| Dunn Investment Company | $66 - $169 | 143% |
| State Systems | $66 - $169 | 143% |
| Hospitality Management Advisors | $66 - $169 | 143% |
| Heavy Machines | $66 - $169 | 143% |
| Minact | $66 - $169 | 143% |
| Silver Tree | $66 - $169 | 143% |
| Retzer Resources | $66 - $169 | 143% |
| Ashley Furniture Stores | $66 - $169 | 143% |
| Brimhall Foods | $66 - $169 | 143% |
| Watkins Uiberall | $66 - $169 | 143% |
| Bartlett City Schools | $66 - $169 | 143% |
| Gossett Motor Cars | $66 - $169 | 143% |
| Vaughn Electric | $66 - $169 | 143% |
| First Community Bank | $66 - $169 | 143% |
| United Tn Holdings | $66 - $169 | 143% |
| Armstrong Relocation | $66 - $169 | 143% |
| Y K Auto Group | $66 - $169 | 143% |
| Hattiesburg Clinic | $66 - $169 | 143% |
| Collierville Schools | $66 - $169 | 143% |
| W W Wood Products | $66 - $169 | 143% |
| Davidson Hospitality | $66 - $169 | 143% |
| Jas D Collier | $66 - $169 | 143% |
| Mid-South Transport | $66 - $169 | 143% |
| Building Plastic | $66 - $169 | 143% |
| Heartland Catfish Company | $66 - $169 | 143% |
| Crittenden County | $66 - $169 | 143% |
| Ritchey Automotive | $66 - $169 | 143% |
| Desoto Co Board of Supervisors | $66 - $169 | 143% |
| City of Lakeland | $66 - $169 | 143% |
| Malco Theaters | $66 - $169 | 143% |
| Arlington Community Schools | $66 - $169 | 143% |
| Hollowell Industries | $66 - $169 | 143% |
| Delta Industries | $66 - $169 | 143% |
| Patterson Warehouses | $66 - $169 | 143% |
| Town of Collierville | $66 - $169 | 143% |
| Security One | $66 - $169 | 143% |
| Advanced Health Systems Inc. | $68 - $174 | 148% |
| Christian Health Aid | $68 - $174 | 148% |
| PPO Plus | $72 - $185 | 156% |
| Harding Academy | $73 - $187 | 158% |
| Employers Health Network | $73 - $187 | 158% |
| Qca | $76 - $196 | 165% |
| Multiplan | $76 - $196 | 165% |