CMS Price Transparency Data

Orthotic fitting and training

Facility: St Clair Hospital

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$45
about 1.0× the $46 Medicare rate · typically $42–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $46 Fair price $45 This hospital $48 Cash price $33 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $25 Priciest $48

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

A fair price for a Orthotic fitting and training is about $45 (about 1.0× the $46 Medicare rate). St Clair Hospital charges insurers about $48, or about $33 in cash — about the fair price. Located in Pittsburgh, PA.

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 $44 - $48 95%
Blue Cross Blue Shieldmajor $39 - $88 85%
Aetnamajor $45 - $117 98%
Cignamajor $45 - $125 98%
Humanamajor $44 95%
AmeriHealth $44 95%
Geisinger $45 98%
HealthPartners $46 100%
UPMC Health Plan $44 - $49 95%
+ 3 smaller / regional plans $45 - $105

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Facility Profile & Credentials

  • Address: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals