CMS Price Transparency Data

Prosthetic fitting and training

Facility: Saint Joseph Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$108
about 2.7× the $40 Medicare rate · typically $41–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $46 under the fair price · 1.6× Medicare
Medicare pays $40 Fair price $108 This hospital $62 Cash price $50 Hospital's list price $103

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $19 Priciest $62

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

A fair price for a Prosthetic fitting and training is about $108 (about 2.7× the $40 Medicare rate). Saint Joseph Hospital charges insurers about $62, or about $50 in cash — below the fair price — a good deal. Located in Lexington, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $27 - $77 67%
Blue Cross Blue Shieldmajor $28 - $30 69%
Aetnamajor $27 - $84 67%
Cignamajor $62 - $82 153%
Humanamajor $26 - $66 64%
Molina $23 - $25 57%
WellCare $28 - $29 69%
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: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals