CMS Price Transparency Data

Prosthetic fitting and training

Facility: Saint Joseph Mount Sterling

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.3× the $40 Medicare rate · typically $40–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $3 under the fair price · 1.3× Medicare
Medicare pays $40 Fair price $53 This hospital $50 Cash price $47 Hospital's list price $129

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 $50

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 $53 (about 1.3× the $40 Medicare rate). Saint Joseph Mount Sterling charges insurers about $50, or about $47 in cash — about the fair price. Located in Mount Sterling, 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 $25 - $75 62%
Blue Cross Blue Shieldmajor $26 - $36 64%
Aetnamajor $25 - $100 62%
Humanamajor $25 - $64 62%
Molina $25 - $35 62%
WellCare $22 - $31 54%
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: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals