CMS Price Transparency Data

Prosthetic fitting and training

Facility: Southcoast Hospitals Group

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.2× the $40 Medicare rate · typically $48–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $1 under the fair price · 1.2× Medicare
Medicare pays $40 Fair price $49 This hospital $48 Cash price $57 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $42 Priciest $48

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

A fair price for a Prosthetic fitting and training is about $49 (about 1.2× the $40 Medicare rate). Southcoast Hospitals Group charges insurers about $48, or about $57 in cash — about the fair price. Located in Fall River, MA.

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 $46 - $183 114%
Blue Cross Blue Shieldmajor $46 - $204 114%
Aetnamajor $46 - $86 114%
Cignamajor $74 183%
Harvard Pilgrim $236 584%
Priority Health $68 168%
Tufts Health Plan $46 - $412 114%
WellSense $24 - $78 59%
+ 8 smaller / regional plans $46 - $68
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 363 Highland Avenue, Fall River, MA 02720
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals