CMS Price Transparency Data

Prosthetic fitting and training

Facility: Clara Maass Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 2.5× the $40 Medicare rate · typically $48–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
Above the fair price
about $25 over the fair price · 3.1× Medicare
Medicare pays $40 Fair price $101 This hospital $126 Hospital's list price $198

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $126

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

A fair price for a Prosthetic fitting and training is about $101 (about 2.5× the $40 Medicare rate). Clara Maass Medical Center charges insurers about $126 — above the fair price. Located in Belleville, NJ.

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 $101. 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.

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 $170 - $200 421%
Blue Cross Blue Shieldmajor $66 - $126 163%
Aetnamajor $183 453%
Cignamajor $98 - $132 243%
AmeriHealth $39 97%
+ 1 smaller / regional plan $37

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: One Clara Maass Drive, Belleville, NJ 07109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals