CMS Price Transparency Data
Prosthetic fitting and training
Facility: St Anthony Community Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$136
about 3.4× the $40 Medicare rate · typically $48–$182
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $136 Cash price $260 Hospital's list price $260
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 | $207 - $244 | 512% |
| Blue Cross Blue Shieldmajor | $196 - $1,210 | 485% |
| Aetnamajor | $117 - $130 | 290% |
| Cignamajor | $182 | 450% |
| CDPHP | $130 | 322% |
| Geisinger | $143 | 354% |
| MagnaCare | $413 | 1022% |
| Molina | $46 | 114% |
| MVP Health Care | $43 - $252 | 106% |
| + 5 smaller / regional plans | $43 - $238 |
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Anthony Community Hospital
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.