97760

Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes

Medicare pricing data for 5,925 providers across 51 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes (HCPCS code 97760) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.22, but hospitals typically charge $103.91 — a 2.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $41.22, your out-of-pocket cost would be approximately $8.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$41.22
Average Hospital Charge
$103.91
Markup Ratio
2.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$103.91
Medicare Allowed$41.22
Medicare Payment$31.55

Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $31.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$52$10227126+25.8%
Connecticut$48$9387551+15.5%
New York$47$1083333,131+14.3%
Rhode Island$47$971967+14.3%
California$47$1014965,266+13.0%
New Jersey$46$1403602,807+12.7%
Nevada$46$16951390+11.0%
Maryland$45$1001991,731+8.5%
District of Columbia$44$10215155+7.6%
Illinois$43$1142802,058+5.0%
Maine$43$822382+4.4%
Arizona$43$1151682,616+4.4%
Washington$42$972431,973+2.5%
Delaware$42$9630157+2.0%
Montana$42$9647616+2.0%
Colorado$42$991621,698+1.2%
Hawaii$42$7727234+1.0%
Wyoming$41$7452883+0.6%
Texas$41$1142211,964+0.4%
Florida$41$1133263,066-0.2%
South Dakota$41$8825153-0.5%
Georgia$40$831741,578-1.9%
Massachusetts$40$1061141,676-2.7%
Pennsylvania$40$1402184,428-2.8%
New Hampshire$40$8136149-3.3%
Kentucky$40$9274383-3.6%
Missouri$40$9698753-3.8%
North Dakota$40$1162176-3.9%
Wisconsin$40$141155525-4.0%
Ohio$39$851471,378-4.2%
Vermont$39$6517154-5.4%
Louisiana$39$7998695-5.4%
Arkansas$39$8259544-5.8%
Michigan$39$101136995-6.1%
Oregon$38$11477667-6.7%
West Virginia$38$771495-7.5%
North Carolina$38$921891,919-7.6%
Kansas$38$9348267-7.9%
Utah$38$6832202-8.3%
Alabama$38$7675496-8.6%
Nebraska$38$8764425-8.6%
Idaho$38$6529342-8.7%
Iowa$37$8455388-9.8%
Minnesota$37$137127817-10.0%
Virginia$37$761803,677-10.3%
Mississippi$37$10550644-11.0%
Tennessee$37$981281,482-11.2%
Indiana$37$911702,676-11.4%
New Mexico$36$7817170-13.2%
South Carolina$34$95871,137-16.3%
Oklahoma$34$9024433-17.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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