CMS Price Transparency Data
Prosthetic fitting and training
Facility: Adventist Health and Rideout
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$60
about 1.5× the $40 Medicare rate · typically $46–$177
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $60 Cash price $38 Hospital's list price $173
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 | $43 - $150 | 106% |
| Blue Cross Blue Shieldmajor | $43 - $164 | 106% |
| Aetnamajor | $122 | 302% |
| Cignamajor | $147 | 364% |
| Kaiser Permanentemajor | $43 - $173 | 106% |
| Health Net | $126 - $173 | 312% |
| + 4 smaller / regional plans | $77 - $285 |
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health and Rideout
Compare: Prosthetic fitting and training at other CA hospitals
- Huntington Hospital · Pasadena $21
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $29
- Kern Medical Center · Bakersfield $32
- Trinity Hospital · Weaverville $40
- Riverside Community Hospital · Riverside $43
- Parkview Community Hospital Medical Center · Riverside $43
- Lompoc Valley Medical Center · Lompoc $43
- San Joaquin General Hospital · French Camp $43
Insurance negotiated median for the same procedure, sorted lowest first.