CMS Price Transparency Data

Prosthetic fitting and training

Facility: Middlesboro Arh Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 0.9× the $40 Medicare rate · typically $34–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $40 Fair price $37 This hospital $38 Cash price $126 Hospital's list price $210

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 $38

Black dot = this hospital, among the 9 KY 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 $37 (about 0.9× the $40 Medicare rate). Middlesboro Arh Hospital charges insurers about $38, or about $126 in cash — about the fair price. Located in Middlesboro, KY.

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✓ Humana CignaKaiser 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 - $156 94%
Blue Cross Blue Shieldmajor $38 - $42 94%
Aetnamajor $38 - $195 94%
Humanamajor $38 - $39 94%
Molina $39 97%
WellCare $38 - $52 94%
+ 1 smaller / regional plan $126

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals