CMS Price Transparency Data
Prosthetic fitting and training
Facility: Madison County Health Care System
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$74
about 1.9× the $40 Medicare rate · typically $41–$158
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $74 Cash price $69 Hospital's list price $86
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $37 - $77 | 92% |
| Blue Cross Blue Shieldmajor | $136 - $150 | 337% |
| Aetnamajor | $37 - $56 | 92% |
| Amerigroup | $43 | 106% |
| Molina | $42 | 104% |
| Oscar Health | $55 | 136% |
| + 14 smaller / regional plans | $37 - $86 |
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Madison County Health Care System
Compare: Prosthetic fitting and training at other IA hospitals
- University of Iowa Health Care Medical Center Down · Iowa City $25
- University of Iowa Hospital & Clinics · Iowa City $25
- CHI Health Mercy Council Bluffs · Council Bluffs $27
- Dallas County Hospital · Perry $31
- Hawarden Regional Healthcare · Hawarden $38
- Guthrie County Hospital · Guthrie Center $38
- Unitypoint Health - Marshalltown · Marshalltown $40
- Trinity Muscatine · Muscatine $40
Insurance negotiated median for the same procedure, sorted lowest first.