CMS Price Transparency Data
Prosthetic fitting and training
Facility: Riverview 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 $47–$187
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $101 Cash price $52 Hospital's list price $193
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 | $55 - $382 | 136% |
| Blue Cross Blue Shieldmajor | $42 | 104% |
| Aetnamajor | $27 - $151 | 67% |
| Cignamajor | $154 - $185 | 381% |
| Amerigroup | $52 | 129% |
| AmeriHealth | $167 - $189 | 413% |
| Clover Health | $35 | 87% |
| WellCare | $224 | 554% |
| + 9 smaller / regional plans | $42 - $464 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Riverview Medical Center
Compare: Prosthetic fitting and training at other NJ hospitals
- The University Hospital · Newark $31
- Inspira Medical Center Vineland · Vineland $43
- Inspira Medical Center Mullica Hill · Elmer $43
- Centrastate Medical Center · Freehold $44
- St Joseph's University Medical Center Inc · Paterson $45
- Morristown Medical Center · Morristown $46
- Chilton Medical Center · Pompton Plains $46
- Newton Medical Center · Newton $46
Insurance negotiated median for the same procedure, sorted lowest first.