CMS Price Transparency Data
Prosthetic fitting and training
Facility: Tufts Medical Center
Billing Code: 97761 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$70
about 1.8× the $40 Medicare rate · typically $46–$123
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $70 Cash price $155 Hospital's list price $222
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 | $317 | 784% |
| Blue Cross Blue Shieldmajor | $120 - $324 | 297% |
| Aetnamajor | $78 - $143 | 193% |
| Cignamajor | $201 - $238 | 497% |
| AmeriHealth | $78 | 193% |
| AvMed | $78 | 193% |
| GEHA | $78 | 193% |
| Harvard Pilgrim | $288 - $317 | 713% |
| Tufts Health Plan | $63 - $201 | 156% |
| WellSense | $58 - $79 | 144% |
| + 103 smaller / regional plans | $78 - $324 |
Government programs also on file: Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Tufts Medical Center
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.