CMS Price Transparency Data

Orthotic fitting and training

Facility: Highlands Arh Regional Medical Center

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.9× the $46 Medicare rate · typically $35–$57
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $46 Fair price $42 This hospital $43 Cash price $150 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $43

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Orthotic fitting and training is about $42 (about 0.9× the $46 Medicare rate). Highlands Arh Regional Medical Center charges insurers about $43, or about $150 in cash — about the fair price. Located in Prestonsburg, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $43 - $111 93%
Blue Cross Blue Shieldmajor $43 - $72 93%
Aetnamajor $43 - $173 93%
Humanamajor $43 - $75 93%
Molina $74 161%
WellCare $43 93%
+ 1 smaller / regional plan $150

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 5000 Kentucky Route 321, Prestonsburg, KY 41653
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals