CMS Price Transparency Data

Prosthetic fitting and training

Facility: Northside Hospital Forsyth

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.3× the $40 Medicare rate · typically $41–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $5 over the fair price · 1.4× Medicare
Medicare pays $40 Fair price $50 This hospital $55 Cash price $168 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $55

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prosthetic fitting and training is about $50 (about 1.3× the $40 Medicare rate). Northside Hospital Forsyth charges insurers about $55, or about $168 in cash — about the fair price. Located in Cumming, GA.

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 $40 - $175 99%
Blue Cross Blue Shieldmajor $40 - $156 99%
Aetnamajor $41 - $152 101%
Cignamajor $32 - $141 79%
Humanamajor $40 - $41 99%
Kaiser Permanentemajor $41 - $195 101%
Ambetter (Centene) $27 - $105 67%
Amerigroup $21 - $32 52%
CareSource $28 - $83 69%
Clover Health $42 104%
Health Net $139 344%
Oscar Health $105 260%
WellCare $41 101%
+ 18 smaller / regional plans $34 - $224
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals