CMS Price Transparency Data
Prosthetic fitting and training
Facility: Adventist Health Howard Memorial
Billing Code: 97761 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$99
about 2.5× the $40 Medicare rate · typically $27–$485
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $99 Cash price $64 Hospital's list price $214
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 | $47 - $166 | 116% |
| Blue Cross Blue Shieldmajor | $43 - $598 | 106% |
| Aetnamajor | $144 | 356% |
| Cignamajor | $182 | 450% |
| Health Net | $175 | 433% |
| + 3 smaller / regional plans | $111 - $182 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Howard Memorial
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.