CMS Price Transparency Data

Orthotic fitting and training

Facility: St Mary Medical Center

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $46 Medicare rate · typically $43–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $6 over the fair price · 1.2× Medicare
Medicare pays $46 Fair price $51 This hospital $57 Cash price $140 Hospital's list price $215

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 $57

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 $51 (about 1.1× the $46 Medicare rate). St Mary Medical Center charges insurers about $57, or about $140 in cash — about the fair price. Located in Langhorne, PA.

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 $47 - $114 102%
Blue Cross Blue Shieldmajor $43 - $129 93%
Aetnamajor $51 - $191 111%
Cignamajor $48 - $358 104%
Ambetter (Centene) $85 184%
AmeriHealth $49 106%
GEHA $114 247%
Oscar Health $86 187%
UPMC Health Plan $358 777%
+ 9 smaller / regional plans $28 - $108
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals