Prosthetic fitting and training
Facility: Mercy Health Saint Mary's
Billing Code: 97761 (CPT)
This hospital's typical commercial price is $39 compared to the $47 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.83× 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 $47 (about 1.2× the $40 Medicare rate). Mercy Health Saint Mary's charges insurers about $39, or about $86 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.
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 | $40 - $132 | 99% |
| Blue Cross Blue Shieldmajor | $21 - $64 | 52% |
| Aetnamajor | $38 - $105 | 94% |
| Cignamajor | $96 | 238% |
| Humanamajor | $100 - $132 | 247% |
| Kaiser Permanentemajor | $64 | 158% |
| AmeriHealth | $100 | 247% |
| CareSource | $86 | 213% |
| Dean Health Plan | $96 | 238% |
| GEHA | $83 - $100 | 205% |
| Medical Mutual | $83 | 205% |
| Molina | $50 | 124% |
| MVP Health Care | $96 | 238% |
| Oscar Health | $49 | 121% |
| Paramount | $96 | 238% |
| Priority Health | $73 - $75 | 181% |
| UniCare | $100 | 247% |
| + 144 smaller / regional plans | $27 - $132 |
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 Mercy Health Saint Mary's
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 Mercy Health Saint Mary's (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $48
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 = $48).
Self-Pay Cash Rate ($86) Beats Your Bill
Mercy Health Saint Mary's's published 45 CFR § 180 self-pay cash rate is $86 (vs. $39 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $47 Fair BaseRate ($40 Medicare)
Your bill ($132) is $85 above the denoised Fair BaseRate ($47) and 3.3× 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.