CMS Price Transparency Data

Orthotic fitting and training

Facility: Promedica Monroe Regional Hospital

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.0× the $46 Medicare rate · typically $43–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $46 Fair price $44 This hospital $43 Cash price $83 Hospital's list price $128

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 $43

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 $44 (about 1.0× the $46 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $43, or about $83 in cash — about the fair price. Located in Monroe, MI.

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 $26 - $104 56%
Blue Cross Blue Shieldmajor $25 - $125 54%
Aetnamajor $25 - $90 54%
Humanamajor $44 95%
AmeriHealth $59 128%
Health Net $90 195%
Meridian $23 50%
Molina $25 54%
Paramount $42 - $97 91%
Priority Health $23 - $70 50%
+ 2 smaller / regional plans $43 - $105
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals