CMS Price Transparency Data

Orthotic fitting and training

Facility: Mercy Health Saint Mary's

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $46 Medicare rate · typically $44–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $7 under the fair price · 1.0× Medicare
Medicare pays $46 Fair price $51 This hospital $44 Cash price $104 Hospital's list price $160

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $19 Priciest $44

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

A fair price for a Orthotic fitting and training is about $51 (about 1.1× the $46 Medicare rate). Mercy Health Saint Mary's charges insurers about $44, or about $104 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

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

6 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 $45 - $160 98%
Blue Cross Blue Shieldmajor $24 - $77 52%
Aetnamajor $43 - $127 93%
Cignamajor $117 254%
Humanamajor $122 - $160 265%
Kaiser Permanentemajor $77 167%
AmeriHealth $122 265%
CareSource $105 228%
Dean Health Plan $117 254%
GEHA $100 - $122 217%
Medical Mutual $100 217%
Molina $57 124%
MVP Health Care $117 254%
Oscar Health $56 122%
Paramount $117 254%
Priority Health $95 - $97 206%
UniCare $122 265%
+ 144 smaller / regional plans $31 - $160
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals