CMS Price Transparency Data

Prosthetic fitting and training

Facility: Scripps Mercy Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.2× the $40 Medicare rate · typically $41–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $3 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $48 This hospital $45 Cash price $21 Hospital's list price $85

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $21 Priciest $45

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

A fair price for a Prosthetic fitting and training is about $48 (about 1.2× the $40 Medicare rate). Scripps Mercy Hospital charges insurers about $45, or about $21 in cash — about the fair price. Located in San Diego, CA.

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 $27 - $50 67%
Blue Cross Blue Shieldmajor $16 - $45 40%
Aetnamajor $35 - $50 87%
Cignamajor $17 - $45 42%
Humanamajor $45 111%
Kaiser Permanentemajor $29 - $45 72%
Health Net $17 - $113 42%
HealthPartners $17 - $45 42%
+ 41 smaller / regional plans $6 - $79
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4077 5Th Ave, San Diego, CA 92103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals