CMS Price Transparency Data
Prosthetic fitting and training
Facility: Children's Specialized Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$108
about 2.7× the $40 Medicare rate · typically $35–$399
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $108 Cash price $73 Hospital's list price $145
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 | $114 - $464 | 282% |
| Blue Cross Blue Shieldmajor | $111 - $237 | 275% |
| Aetnamajor | $111 - $112 | 275% |
| Cignamajor | $87 | 215% |
| AmeriHealth | $110 | 272% |
| Fidelis Care | $111 | 275% |
| + 2 smaller / regional plans | $99 - $113 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Children's Specialized Hospital
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.