CMS Price Transparency Data

Prosthetic fitting and training

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.4× the $40 Medicare rate · typically $36–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $17 under the fair price · 0.9× Medicare
Medicare pays $40 Fair price $55 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 0 of 8 other OH hospitals charge more for the same procedure.

Cheapest $25 Priciest $38

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 $55 (about 1.4× the $40 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $38 — below the fair price — a good deal. Located in Cleveland, 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 $38 94%
Blue Cross Blue Shieldmajor $38 94%
Aetnamajor $38 94%
Cignamajor $38 94%
Humanamajor $38 94%
Devoted Health $38 94%
Medical Mutual $38 94%
Molina $38 94%
Paramount $39 97%
WellCare $38 94%
+ 5 smaller / regional plans $38 - $40

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens