CMS Price Transparency Data
Orthotic fitting and training
Facility: Saint Joseph East
Billing Code: 97760 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$106
about 2.3× the $46 Medicare rate · typically $43–$158
modeled estimate · not a bill or quote
Medicare pays $46 Fair price $106 Cash price $113 Hospital's list price $282
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $75 - $214 | 163% |
| Blue Cross Blue Shieldmajor | $77 | 167% |
| Aetnamajor | $73 - $178 | 158% |
| Cignamajor | $180 | 391% |
| Humanamajor | $73 | 158% |
| Molina | $69 | 150% |
| WellCare | $72 | 156% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Joseph East
Compare: Orthotic fitting and training at other KY hospitals
- Three Rivers Medical Center · Louisa $19
- Breckinridge Memorial Hospital · Hardinsburg $19
- Monroe County Medical Center · Tompkinsville $25
- Saint Joseph London · London $31
- Kentucky River Medical Center · Jackson $31
- Marshall County Hospital · Benton $35
- University of Kentucky Hospital · Lexington $37
- King's Daughters' Medical Center · Ashland $39
Insurance negotiated median for the same procedure, sorted lowest first.