CMS Price Transparency Data

Prosthetic fitting and training

Facility: Good Samaritan Hospital Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 2.0× the $40 Medicare rate · typically $39–$162
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $81 Hospital's list price $167

How we calculate the fair BaseRate →

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 $91 - $293 225%
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 $91 - $126 225%
+ 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

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals