CMS Price Transparency Data

Prosthetic fitting and training

Facility: Lutheran Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.1× the $40 Medicare rate · typically $38–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Above the fair price
about $12 over the fair price · 1.4× Medicare
Medicare pays $40 Fair price $42 This hospital $54 Cash price $163 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $54

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prosthetic fitting and training is about $42 (about 1.1× the $40 Medicare rate). Lutheran Hospital charges insurers about $54, or about $163 in cash — above the fair price. Located in Cleveland, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $42. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $52 - $238 129%
Blue Cross Blue Shieldmajor $73 - $200 181%
Aetnamajor $52 - $250 129%
Cignamajor $54 - $200 134%
Humanamajor $52 - $212 129%
AmeriHealth $76 188%
CareSource $74 183%
Devoted Health $52 129%
Molina $73 181%
Oscar Health $75 - $96 186%
Paramount $71 176%
UPMC Health Plan $52 - $150 129%
+ 19 smaller / regional plans $52 - $225
Excludes 4 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals