CMS Price Transparency Data

Orthotic fitting and training

Facility: Mercy Hospital Carthage

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.0× the $46 Medicare rate · typically $39–$67
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 $89 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $39 Priciest $43

Black dot = this hospital, among the 9 MO 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). Mercy Hospital Carthage charges insurers about $43, or about $89 in cash — about the fair price. Located in Carthage, MO.

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 $38 - $123 82%
Blue Cross Blue Shieldmajor $38 - $185 82%
Aetnamajor $38 - $122 82%
Cignamajor $38 - $123 82%
Humanamajor $38 - $41 82%
Ambetter (Centene) $75 163%
HealthLink $89 - $127 193%
Medica $119 258%
+ 36 smaller / regional plans $38 - $123
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3125 Dr Russell Smith Way, Carthage, MO 64836
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals