CMS Price Transparency Data
Orthotic fitting and training
Facility: Wellspan Ephrata Community Hospital
Billing Code: 97760 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$101
about 2.2× the $46 Medicare rate · typically $42–$207
modeled estimate · not a bill or quote
Medicare pays $46 Fair price $101 Cash price $208 Hospital's list price $260
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✓ Cigna HumanaKaiser 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 | $245 | 532% |
| Blue Cross Blue Shieldmajor | $68 - $201 | 148% |
| Aetnamajor | $44 - $201 | 95% |
| Cignamajor | $158 - $166 | 343% |
| Geisinger | $169 | 367% |
| UPMC Health Plan | $169 - $208 | 367% |
| + 1 smaller / regional plan | $169 - $178 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Ephrata Community Hospital
Compare: Orthotic fitting and training at other PA hospitals
- Rothman Orthopaedic Specialty Hospital · Bensalem $25
- St Luke's Hospital - Easton Campus · Easton $33
- Geisinger St. Luke's Hospital · Orwigsburg $33
- Magee Memorial Hospital for Convalescents · Philadelphia $38
- Jefferson Abington Hospital · Abington $39
- UPMC Wellsboro · Wellsboro $41
- St Luke's Hospital - Upper Bucks Campus · Quakertown $43
- St Lukes Hospital · Bethlehem $43
Insurance negotiated median for the same procedure, sorted lowest first.