CMS Price Transparency Data

Prosthetic fitting and training

Facility: Newton Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 1.7× the $40 Medicare rate · typically $45–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $22 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $68 This hospital $46 Cash price $122 Hospital's list price $654

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $31 Priciest $46

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 $68 (about 1.7× the $40 Medicare rate). Newton Medical Center charges insurers about $46, or about $122 in cash — below the fair price — a good deal. Located in Newton, NJ.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $141 - $152 349%
Blue Cross Blue Shieldmajor $29 - $293 72%
Aetnamajor $35 - $197 87%
Cignamajor $46 - $138 114%
Humanamajor $140 - $150 346%
Kaiser Permanentemajor $238 589%
Ambetter (Centene) $46 114%
AmeriHealth $46 - $285 114%
GEHA $146 - $152 361%
Harvard Pilgrim $146 - $152 361%
Health Net $145 - $367 359%
MagnaCare $154 - $346 381%
MVP Health Care $125 309%
Oscar Health $140 - $150 346%
Tufts Health Plan $125 309%
UPMC Health Plan $46 114%
WellCare $46 114%
+ 79 smaller / regional plans $32 - $432
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals