CMS Price Transparency Data

Prosthetic fitting and training

Facility: Tri-City Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.4× the $40 Medicare rate · typically $40–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $8 over the fair price · 1.6× Medicare
Medicare pays $40 Fair price $55 This hospital $63 Cash price $62 Hospital's list price $104

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 $63

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 $55 (about 1.4× the $40 Medicare rate). Tri-City Medical Center charges insurers about $63, or about $62 in cash — about the fair price. Located in Oceanside, CA.

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✓ Kaiser Permanente Humana

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 $247 - $259 611%
Blue Cross Blue Shieldmajor $61 - $63 151%
Aetnamajor $21 - $72 52%
Cignamajor $77 - $82 191%
Kaiser Permanentemajor $36 89%
Health Net $16 - $81 40%
Molina $31 77%
Providence Health Plan $31 77%
+ 3 smaller / regional plans $26 - $62
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4002 Vista Way, Oceanside, CA 92056
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals