CMS Price Transparency Data

Prosthetic fitting and training

Facility: Mercyone Newton Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.2× the $40 Medicare rate · typically $38–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $5 over the fair price · 1.3× Medicare
Medicare pays $40 Fair price $48 This hospital $53 Cash price $69 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $25 Priciest $53

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

A fair price for a Prosthetic fitting and training is about $48 (about 1.2× the $40 Medicare rate). Mercyone Newton Medical Center charges insurers about $53, or about $69 in cash — about the fair price. Located in Newton, IA.

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 $38 - $77 94%
Blue Cross Blue Shieldmajor $38 94%
Aetnamajor $38 - $99 94%
Cignamajor $98 243%
Ambetter (Centene) $65 161%
GEHA $77 191%
HealthPartners $93 230%
Medica $98 243%
Medical Mutual $99 245%
Oscar Health $59 146%
+ 20 smaller / regional plans $25 - $106
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals