Prosthetic fitting and training
Facility: Trinity Health Oakland Hospital
Billing Code: 97761 (CPT)
This hospital's typical commercial price is $57 compared to the $42 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.36× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Prosthetic fitting and training is about $42 (about 1.1× the $40 Medicare rate). Trinity Health Oakland Hospital charges insurers about $57, or about $118 in cash — above the fair price. Located in Pontiac, MI.
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 $42. 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.
6 of 6 major insurers have a published price at this hospital
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 | $41 - $136 | 101% |
| Blue Cross Blue Shieldmajor | $22 - $65 | 54% |
| Aetnamajor | $39 - $136 | 97% |
| Cignamajor | $134 | 332% |
| Humanamajor | $133 | 329% |
| Kaiser Permanentemajor | $65 | 161% |
| AmeriHealth | $133 | 329% |
| CareSource | $78 | 193% |
| Dean Health Plan | $123 | 304% |
| GEHA | $113 - $136 | 280% |
| Health Net | $181 | 448% |
| HealthPartners | $132 | 327% |
| MagnaCare | $133 | 329% |
| Medical Mutual | $113 | 280% |
| Molina | $52 | 129% |
| MVP Health Care | $123 | 304% |
| Paramount | $123 | 304% |
| Priority Health | $54 - $60 | 134% |
| Tufts Health Plan | $132 | 327% |
| UniCare | $133 | 329% |
| + 136 smaller / regional plans | $40 - $181 |
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.
Other Procedures at Trinity Health Oakland Hospital
Compare: Prosthetic fitting and training at other MI hospitals
- Beacon Plainwell · Plainwell $17
- Harper University Hospital · Detroit $27
- Huron Valley-Sinai Hospital · Commerce Township $27
- Bronson Methodist Hospital · Kalamazoo $33
- Bronson Battle Creek Hospital · Battle Creek $33
- Lake Huron Medical Center · Port Huron $38
- Munson Healthcare Grayling Hospital · Grayling $38
- Covenant Medical Center · Saginaw $38
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $66
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $66).
Self-Pay Cash Rate ($118) Beats Your Bill
Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $118 (vs. $57 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $42 Fair BaseRate ($40 Medicare)
Your bill ($181) is $139 above the denoised Fair BaseRate ($42) and 4.5× the $40 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.