CMS Price Transparency Data
Prosthetic fitting and training
Facility: Margaretville Memorial Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$69
about 1.7× the $40 Medicare rate · typically $28–$163
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $69 Cash price $164 Hospital's list price $164
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $72 - $176 | 178% |
| Blue Cross Blue Shieldmajor | $72 - $201 | 178% |
| Aetnamajor | $72 - $210 | 178% |
| CDPHP | $79 | 195% |
| MagnaCare | $115 - $413 | 285% |
| Molina | $76 | 188% |
| MVP Health Care | $72 - $238 | 178% |
| + 7 smaller / regional plans | $72 - $270 |
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Margaretville Memorial 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.