CMS Price Transparency Data

Prosthetic fitting and training

Facility: St Mary's Healthcare

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.4× the $40 Medicare rate · typically $42–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Below the fair price — a good deal
about $7 under the fair price · 1.2× Medicare
Medicare pays $40 Fair price $55 This hospital $48 Cash price $59 Hospital's list price $86

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $37 Priciest $48

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

A fair price for a Prosthetic fitting and training is about $55 (about 1.4× the $40 Medicare rate). St Mary's Healthcare charges insurers about $48, or about $59 in cash — below the fair price — a good deal. Located in Amsterdam, NY.

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✓ Humana CignaKaiser 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 $63 156%
Blue Cross Blue Shieldmajor $40 - $77 99%
Aetnamajor $41 - $214 101%
Humanamajor $41 101%
CDPHP $114 282%
+ 3 smaller / regional plans $34 - $78
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals