Orthotic and prosthetic management follow-up visit at Progress West Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Pt Ortho/Prosth Tr-Ea Addl 15 Mn

O'Fallon, MO

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How this price compares nationally

Progress West Hospital’s median price of $116 is 48% above the median hospital's median price ($78), higher than 73% of the 2,297 hospitals reporting CPT 97763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97763 at Progress West Hospital

Negotiated rates from the hospital’s own file: 12 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna bjc hb medicare advantra pwc fee schedule · both	$48	$48	—	—	—	$48 – $48
2	Aetna bjc hb medicare gold advantage pwc fee schedule · both	$48	$48	—	—	—	$48 – $48
3	Blue Cross Blue Shield bjc hb medicare anthem advantage pwc fee schedule · both	$48	$48	—	—	—	$48 – $48
4	Humana bjc hb medicare humana pwc fee schedule · both	$48	$48	—	—	—	$48 – $48
5	UnitedHealthcare bjc hb medicare uhc pwc fee schedule · both	$48	$48	—	—	—	$48 – $48
6	Devoted bjc hb medicare devoted pwc fee schedule · both	$51	$51	—	—	—	$51 – $51
7	Medica bjc hb medicare wellfirst pwc fee schedule · both	$51	$51	—	—	—	$51 – $51
8	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$86	$86	—	—	—	$86 – $86
9	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$114	$114	—	—	—	$114 – $114
10	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$114	$114	—	—	—	$114 – $114
11	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$114	$114	—	—	—	$114 – $114
12	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$114	$114	—	—	—	$114 – $114
13	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$116	$116	—	—	—	$116 – $116
14	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$116	$116	—	—	—	$116 – $116
15	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$116	$116	—	—	—	$116 – $116
16	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$116	$116	—	—	—	$116 – $116
17	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$123	$123	—	—	—	$123 – $123
18	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$123	$123	—	—	—	$123 – $123
19	UnitedHealthcare bjc hb united health care community per diem · both	$127	$127	—	—	—	$127 – $127
20	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$131	$131	—	—	—	$131 – $131
21	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$131	$131	—	—	—	$131 – $131
22	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$134	$134	—	—	—	$134 – $134
23	Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges	$154	$154	—	—	—	$154 – $154
24	Blue Cross Blue Shield bjc hb anthem choice community per diem · both	$208	$208	—	—	—	$208 – $208
25	Blue Cross Blue Shield bjc hb anthem access community per diem · both	$216	$216	—	—	—	$216 – $216

Page 1 of 2 · 29 rates

Last updated: Dec 15, 2025

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