CMS Price Transparency Data

Prosthetic fitting and training

Facility: Sanford Medical Center Bismarck

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$52

about 1.3× the $40 Medicare rate · typically $41–$52

modeled estimate · not a bill or quote

What this hospital charges insurers

$42

Below the fair price — a good deal

about $10 under the fair price · 1.1× Medicare

Medicare pays $40 Fair price $52 This hospital $42 Cash price $123 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 3 charge more and 4 charge less, among the 9 ND hospitals compared.

Cheapest $30 Priciest $107

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

A fair price for a Prosthetic fitting and training is about $52 (about 1.3× the $40 Medicare rate). Sanford Medical Center Bismarck charges insurers about $42, or about $123 in cash — below the fair price — a good deal. Located in Bismarck, ND.

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 - $275	101%
Blue Cross Blue Shieldmajor	$36 - $142	89%
Aetnamajor	$41 - $270	101%
Cignamajor	$130 - $144	322%
Health Net	$128 - $296	317%
HealthPartners	$41 - $207	101%
Medica	$72 - $302	178%
Sanford Health Plan	$38 - $196	94%
Security Health Plan	$78 - $181	193%
UCare	$41 - $257	101%
+ 2 smaller / regional plans	$42 - $296

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 123), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97761.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Medical Center Bismarck is in-network.
Ask your insurer whether prior approval is required for CPT code 97761.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Medical Center Bismarck

Compare: Prosthetic fitting and training at other ND hospitals

Insurance negotiated median for the same procedure, sorted lowest first.