CMS Price Transparency Data

Prosthetic fitting and training

Facility: Harlem Hospital Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$118
about 3.0× the $40 Medicare rate · typically $44–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
About the fair price
about $8 over the fair price · 3.1× Medicare
Medicare pays $40 Fair price $118 This hospital $126 Hospital's list price $298

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 $126

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 $118 (about 3.0× the $40 Medicare rate). Harlem Hospital Center charges insurers about $126 — about the fair price. Located in New York, 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✓ 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 $115 - $284 285%
Blue Cross Blue Shieldmajor $115 - $258 285%
Aetnamajor $20 - $192 49%
Cignamajor $241 596%
Fidelis Care $66 - $258 163%
MagnaCare $224 554%
Oscar Health $251 621%
WellCare $49 - $179 121%
+ 13 smaller / regional plans $37 - $265
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals