CMS Price Transparency Data
Prosthetic fitting and training
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$48
about 1.2× the $40 Medicare rate · typically $34–$93
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $48 Cash price $140 Hospital's list price $140
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 | $76 - $203 | 188% |
| Blue Cross Blue Shieldmajor | $76 - $203 | 188% |
| Aetnamajor | $76 - $203 | 188% |
| Cignamajor | $76 - $203 | 188% |
| Humanamajor | $76 - $203 | 188% |
| Ambetter (Centene) | $76 - $203 | 188% |
| CareSource | $76 - $203 | 188% |
| Devoted Health | $76 - $203 | 188% |
| Medical Mutual | $42 - $203 | 104% |
| Molina | $76 - $203 | 188% |
| UPMC Health Plan | $76 - $203 | 188% |
| + 1 smaller / regional plan | $52 - $138 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Prosthetic fitting and training at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $25
- Riverside Methodist Hospital · Columbus $38
- Grant Medical Center · Columbus $38
- Parma Community General Hospital · Parma $38
- University of Toledo Medical Center · Toledo $38
- Holzer Medical Center · Gallipolis $38
- Fisher-Titus Hospital · Norwalk $38
- Uh Regional Hospitals · Chardon $38
Insurance negotiated median for the same procedure, sorted lowest first.