CMS Price Transparency Data

Prosthetic fitting and training

Facility: Saint Michael's Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 1.7× the $40 Medicare rate · typically $46–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $16 under the fair price · 1.3× Medicare
Medicare pays $40 Fair price $69 This hospital $53 Cash price $45 Hospital's list price $225

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 $53

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 $69 (about 1.7× the $40 Medicare rate). Saint Michael's Medical Center charges insurers about $53, or about $45 in cash — below the fair price — a good deal. Located in Newark, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $45 - $225 111%
Blue Cross Blue Shieldmajor $45 111%
Aetnamajor $45 - $96 111%
Cignamajor $158 391%
Humanamajor $45 111%
AmeriHealth $45 111%
Clover Health $47 116%
WellCare $47 - $61 116%
+ 5 smaller / regional plans $45 - $63
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Central Avenue, Newark, NJ 07102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals