CPT 97760 Physical Therapy/Rehab
Orthotic mgmt&traing 1st enc Cost
Body System: Musculoskeletal
Medicare Facility Rate
$46
CMS PFS CY2026
Medicare Non-Facility Rate
$46
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.50
Work RVU
0.87
Facility PE RVU
0.01
Malpractice RVU
1.38
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $56 | $73 — $113 |
| AL — ALABAMA | $43 | $55 — $85 |
| AR — ARKANSAS | $42 | $55 — $84 |
| AZ — ARIZONA | $45 | $59 — $91 |
| CA — BAKERSFIELD | $49 | $64 — $99 |
| CA — CHICO | $49 | $64 — $99 |
| CA — EL CENTRO | $49 | $64 — $99 |
| CA — FRESNO | $49 | $64 — $99 |
| CA — HANFORD-CORCORAN | $49 | $64 — $99 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $52 | $68 — $104 |
| CA — MADERA | $49 | $64 — $99 |
| CA — MERCED | $49 | $64 — $99 |
| CA — MODESTO | $49 | $64 — $99 |
| CA — NAPA | $57 | $73 — $113 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $52 | $68 — $104 |
| CA — REDDING | $49 | $64 — $99 |
| CA — REST OF CALIFORNIA | $49 | $64 — $99 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $49 | $64 — $99 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $52 | $67 — $103 |
| CA — SALINAS | $51 | $67 — $103 |
Frequently Asked Questions
How much does Orthotic mgmt&traing 1st enc cost?
The Medicare facility rate is $46. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Orthotic mgmt&traing 1st enc cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $46.