CMS Price Transparency Data

Prosthetic fitting and training

Facility: Gaylord 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 $37–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $18 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $61 This hospital $43 Cash price $80 Hospital's list price $122

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 4 CT hospitals we have prices for — a strong deal.

Cheapest $43 Priciest $129

Black dot = this hospital, among the 4 CT hospitals with a price for this procedure. Full list below.

A fair price for a Prosthetic fitting and training is about $61 (about 1.5× the $40 Medicare rate). Gaylord Hospital charges insurers about $43, or about $80 in cash — below the fair price — a good deal. Located in Wallingford, CT.

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 $43 - $160 106%
Blue Cross Blue Shieldmajor $43 - $88 106%
Aetnamajor $43 - $268 106%
Cignamajor $129 319%
Harvard Pilgrim $104 257%
+ 2 smaller / regional plans $43 - $220
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: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL