CMS Price Transparency Data

Prosthetic fitting and training

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 1.7× the $40 Medicare rate · typically $39–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $23 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $69 This hospital $46 Cash price $132 Hospital's list price $132

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 $46

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 $69 (about 1.7× the $40 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $46, or about $132 in cash — below the fair price — a good deal. Located in Far Rockaway, 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✓ Humana CignaKaiser 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 $46 114%
Blue Cross Blue Shieldmajor $46 - $69 114%
Aetnamajor $46 - $64 114%
Humanamajor $46 114%
Fidelis Care $46 114%
MagnaCare $174 431%
Molina $50 124%
WellCare $46 114%
+ 10 smaller / regional plans $38 - $103

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Facility Profile & Credentials

  • Address: 327 Beach 19Th Street, Far Rockaway, NY 11691
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals