CMS Price Transparency Data
Prosthetic fitting and training
Facility: Samaritan Hospital of Troy, New York
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$78
about 1.9× the $40 Medicare rate · typically $37–$148
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $78 Cash price $69 Hospital's list price $106
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 | $29 - $383 | 72% |
| Blue Cross Blue Shieldmajor | $39 - $297 | 97% |
| Aetnamajor | $42 | 104% |
| Cignamajor | $269 | 666% |
| Fidelis Care | $71 | 176% |
| Harvard Pilgrim | $383 | 948% |
| HealthPartners | $269 | 666% |
| Independent Health | $90 | 223% |
| MagnaCare | $90 | 223% |
| MVP Health Care | $158 - $170 | 391% |
| Priority Health | $269 | 666% |
| Tufts Health Plan | $269 | 666% |
| UniCare | $153 | 379% |
| + 15 smaller / regional plans | $39 - $316 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Prosthetic fitting and training at other NY hospitals
- Highland Hospital · Rochester $37
- F F Thompson Hospital · Canandaigua $39
- Jones Memorial Hospital · Wellsville $39
- Bertrand Chaffee Hospital · Springville $39
- Oswego Hospital · Oswego $39
- Nicholas H Noyes Memorial Hospital · Dansville $39
- Geneva General Hospital · Geneva $40
- Sisters of Charity Hospital · Buffalo $40
Insurance negotiated median for the same procedure, sorted lowest first.