CMS Price Transparency Data
Prosthetic fitting and training
Facility: Heywood Hospital -
Billing Code: 97761 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$58
about 1.4× the $40 Medicare rate · typically $42–$88
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $58 Cash price $81 Hospital's list price $81
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✓ Cigna AetnaHumanaKaiser 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 | $577 | 1428% |
| Blue Cross Blue Shieldmajor | $111 - $114 | 275% |
| Cignamajor | $216 | 535% |
| Harvard Pilgrim | $190 | 470% |
| Tufts Health Plan | $100 - $102 | 247% |
| + 1 smaller / regional plan | $47 |
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Other Procedures at Heywood Hospital -
Compare: Prosthetic fitting and training at other MA hospitals
- Fairview Hospital · Great Barrington $42
- North Adams Regional Hospital Corporation · North Adams $42
- Berkshire Medical Center · Pittsfield $43
- UMass Memorial Health - Harrington Hospital · Southbridge $45
- UMass Memorial Healthalliance Hospitals · Leominster $46
- Spaulding Rehabilitation Hospital - Boston · Charlestown $46
- Boston Medical Center · Boston $48
- Boston Medical Center-Brighton · Brighton $48
Insurance negotiated median for the same procedure, sorted lowest first.