CMS Price Transparency Data
Prosthetic fitting and training
Facility: Adventist Health Clearlake
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$212
about 5.3× the $40 Medicare rate · typically $57–$395
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $212 Cash price $82 Hospital's list price $227
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 | $52 - $189 | 129% |
| Blue Cross Blue Shieldmajor | $48 - $543 | 119% |
| Aetnamajor | $170 | 421% |
| Cignamajor | $204 | 505% |
| Humanamajor | $193 | 478% |
| Kaiser Permanentemajor | $48 - $204 | 119% |
| Health Net | $186 | 460% |
| + 6 smaller / regional plans | $95 - $375 |
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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Insurance Before you use insurance
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Other Procedures at Adventist Health Clearlake
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.