CMS Price Transparency Data

Prosthetic fitting and training

Facility: Hill Hospital of Sumter County

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.0× the $40 Medicare rate · typically $36–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Above the fair price
about $11 over the fair price · 1.3× Medicare
Medicare pays $40 Fair price $41 This hospital $52

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $27 Priciest $52

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

A fair price for a Prosthetic fitting and training is about $41 (about 1.0× the $40 Medicare rate). Hill Hospital of Sumter County charges insurers about $52 — above the fair price. Located in York, AL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $41. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $52 129%
Blue Cross Blue Shieldmajor $62 153%
Aetnamajor $52 129%
Cignamajor $52 129%
Humanamajor $52 129%
+ 2 smaller / regional plans $52

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 751 Derby Drive, York, AL 36925
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals