CMS Price Transparency Data

Orthotic fitting and training

Facility: Uh Cleveland Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97760
  • Insurance Median: $83
  • Cash Discount Price: $111
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at Uh Cleveland Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.80x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$111

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$46.09

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $46.09 (100%)
Cash / Self-Pay: $111 (241%)
Insurance Median: $83 (180%)
Cash: $111 (241% of Medicare)
Ins. Median: $83 (180% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $46.09 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medical Mutual Of Ohio $42 - $93 91%
Aetna $43 - $116 93%
Blue Cross Blue Shield $43 - $88 93%
Cigna $43 - $90 93%
Devoted Health $43 93%
Humana $43 93%
Molina $43 93%
Primetime Health Plan $43 93%
Summacare $43 - $101 93%
The Health Plan $43 - $96 93%
UnitedHealthcare $43 - $127 93%
Wellcare By Allwell $43 93%
Paramount $45 98%
Perennial Advantage Of Ohio $45 98%
Valor Health Plans $45 98%
University Health Employee Plan (Contigo) $59 128%
Amish Aid Community Plan $74 161%
Amish Church Fund And Workers Aid Plan $74 161%
Buckeye Plain Ministries $74 161%
Christian Healthcare Ministries $74 161%
Immergrun $74 161%
Sunrise Plain Communities $74 161%
Ambetter / Centene $78 169%
Caresource $78 169%
Jp Farley $80 174%
Clarity $83 180%
Enterprise Group Planning $83 180%
Health Ohio Network $86 187%
Aultcare $87 189%
Healthsmart $96 208%
Ohio Health Choice $96 - $133 208%
Medical Mutual Traditional/Health Ohio $104 226%
Beech Street $118 - $133 256%
Ohio Preferred Network $118 - $133 256%
First Health $123 267%
Century Health Network $126 273%
Private Healthcare System $127 276%
Configurenet $133 289%
Fortified Provider Network $133 289%
Multiplan $133 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals