CMS Price Transparency Data

Prosthetic fitting and training

Facility: Garnet Health Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 2.8× the $40 Medicare rate · typically $49–$177
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $7 under the fair price · 2.6× Medicare
Medicare pays $40 Fair price $110 This hospital $103 Cash price $55 Hospital's list price $220

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 $103

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 $110 (about 2.8× the $40 Medicare rate). Garnet Health Medical Center charges insurers about $103, or about $55 in cash — about the fair price. Located in Middletown, NY.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $166 - $243 411%
Aetnamajor $45 - $72 111%
Fidelis Care $46 114%
Geisinger $114 282%
MagnaCare $114 - $183 282%
MVP Health Care $209 517%
WellCare $47 116%
+ 4 smaller / regional plans $72 - $214

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 707 East Main Street, Middletown, NY 10940
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals