CMS Price Transparency Data

Prosthetic fitting and training

Facility: Highland District Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.2× the $40 Medicare rate · typically $29–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $7 over the fair price · 1.4× Medicare
Medicare pays $40 Fair price $47 This hospital $54 Cash price $84 Hospital's list price $105

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.

A fair price for a Prosthetic fitting and training is about $47 (about 1.2× the $40 Medicare rate). Highland District Hospital charges insurers about $54, or about $84 in cash — about the fair price. Located in Hillsboro, OH.

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 $34 - $97 84%
Blue Cross Blue Shieldmajor $34 - $80 84%
Aetnamajor $34 - $85 84%
Cignamajor $94 233%
Humanamajor $34 - $93 84%
Medical Mutual $96 238%
+ 5 smaller / regional plans $35 - $94
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals