CMS Price Transparency Data
Prosthetic fitting and training
Facility: St Francis Hospital - the Heart Center
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$94
about 2.4× the $40 Medicare rate · typically $41–$146
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $94 Hospital's list price $167
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 | $82 - $303 | 203% |
| Blue Cross Blue Shieldmajor | $108 - $142 | 267% |
| Aetnamajor | $70 - $356 | 173% |
| Cignamajor | $98 - $293 | 243% |
| AmeriHealth | $63 - $87 | 156% |
| Fidelis Care | $82 - $184 | 203% |
| Independent Health | $82 | 203% |
| MVP Health Care | $82 - $293 | 203% |
| Oscar Health | $57 - $80 | 141% |
| UniCare | $98 - $136 | 243% |
| + 37 smaller / regional plans | $28 - $356 |
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St Francis Hospital - the Heart Center
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.