CMS Price Transparency Data

Prosthetic fitting and training

Facility: Essentia Health Virginia

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.0× the $40 Medicare rate · typically $39–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $39 This hospital $41 Cash price $68 Hospital's list price $109

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 0 charge more and 5 charge less, among the 9 MN hospitals compared.

Cheapest $23 Priciest $41

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Prosthetic fitting and training is about $39 (about 1.0× the $40 Medicare rate). Essentia Health Virginia charges insurers about $41, or about $68 in cash — about the fair price. Located in Virginia, MN.

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 $41 - $96 101%
Blue Cross Blue Shieldmajor $41 - $93 101%
Aetnamajor $93 230%
Cignamajor $98 - $99 243%
HealthPartners $41 - $99 101%
Medica $25 - $79 62%
Sanford Health Plan $47 - $85 116%
Security Health Plan $41 - $84 101%
UCare $41 - $72 101%
+ 12 smaller / regional plans $41 - $84
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals