CMS Price Transparency Data
Prosthetic fitting and training
Facility: Valley Children's Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$61
about 1.5× the $40 Medicare rate · typically $28–$195
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $61 Hospital's list price $236
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✓ Kaiser Permanente CignaHumana
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 | $118 - $168 | 292% |
| Blue Cross Blue Shieldmajor | $158 - $719 | 391% |
| Aetnamajor | $158 | 391% |
| Kaiser Permanentemajor | $153 | 379% |
| Health Net | $83 - $155 | 205% |
| + 16 smaller / regional plans | $117 - $201 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Valley Children's Hospital
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.