CMS Price Transparency Data
Prosthetic fitting and training
Facility: Banner Ironwood Medical Center
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$120
about 3.0× the $40 Medicare rate · typically $42–$177
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $120 Cash price $10 Hospital's list price $131
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 | $241 - $265 | 596% |
| Blue Cross Blue Shieldmajor | $144 - $192 | 356% |
| Aetnamajor | $26 - $81 | 64% |
| Cignamajor | $203 - $225 | 502% |
| Health Net | $29 - $71 | 72% |
| Oscar Health | $66 | 163% |
| + 10 smaller / regional plans | $29 - $98 |
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Other Procedures at Banner Ironwood Medical Center
Compare: Prosthetic fitting and training at other AZ hospitals
- Verde Valley Medical Center · Cottonwood $39
- Flagstaff Medical Center · Flagstaff $39
- Tucson Medical Center · Tucson $40
- Valleywise Health Medical Center · Phoenix $40
- PAM Health Rehabilitation Hospital of Surprise · Surprise $40
- Northwest Medical Center · Tucson $41
- Oro Valley Hospital · Oro Valley $41
- Northwest Medical Center Sahuarita · Sahuarita $41
Insurance negotiated median for the same procedure, sorted lowest first.