CMS Price Transparency Data

Prosthetic fitting and training

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$85
about 2.1× the $40 Medicare rate · typically $44–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
Above the fair price
about $50 over the fair price · 3.4× Medicare
Medicare pays $40 Fair price $85 This hospital $135 Cash price $191 Hospital's list price $191

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 $135

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 $85 (about 2.1× the $40 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $135, or about $191 in cash — above the fair price. Located in Boston, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $85. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $167 - $180 413%
Aetnamajor $46 114%
Cignamajor $130 322%
Providence Health Plan $139 344%
Tufts Health Plan $817 2022%
+ 2 smaller / regional plans $46 - $64

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 51 Blossom Street, Boston, MA 02114
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens