CMS Price Transparency Data
Prosthetic fitting and training
Facility: Banner Payson Medical Center
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$112
about 2.8× the $40 Medicare rate · typically $54–$180
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $112 Cash price $8 Hospital's list price $60
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $25 - $40 | 62% |
| Blue Cross Blue Shieldmajor | $25 - $198 | 62% |
| Aetnamajor | $25 - $81 | 62% |
| Cignamajor | $25 - $48 | 62% |
| Humanamajor | $26 | 64% |
| Kaiser Permanentemajor | $25 | 62% |
| Banner Health | $25 | 62% |
| Devoted Health | $27 | 67% |
| Health Net | $14 - $36 | 35% |
| Oscar Health | $41 | 101% |
| UPMC Health Plan | $25 | 62% |
| + 13 smaller / regional plans | $14 - $54 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Banner Payson 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.