CMS Price Transparency Data

Prosthetic fitting and training

Facility: Montefiore Mount Vernon Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 2.0× the $40 Medicare rate · typically $39–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
About the fair price
about $4 under the fair price · 1.9× Medicare
Medicare pays $40 Fair price $81 This hospital $77

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 $77

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 $81 (about 2.0× the $40 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $77 — about the fair price. Located in Mount Vernon, 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✓ Cigna✓ Humana AetnaKaiser 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 $43 - $77 106%
Blue Cross Blue Shieldmajor $47 - $173 116%
Cignamajor $284 - $315 703%
Humanamajor $51 126%
Fidelis Care $47 - $134 116%
Molina $64 - $173 158%
MVP Health Care $77 - $176 191%
SelectHealth $88 218%
WellCare $48 - $78 119%
+ 11 smaller / regional plans $43 - $394
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals