CMS Price Transparency Data

Prosthetic fitting and training

Facility: Nationwide Children's Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.6× the $40 Medicare rate · typically $34–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
Well above the fair price
about $53 over the fair price · 2.9× Medicare
Medicare pays $40 Fair price $62 This hospital $115 Cash price $103 Hospital's list price $114

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 $115

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 $62 (about 1.6× the $40 Medicare rate). Nationwide Children's Hospital charges insurers about $115, or about $103 in cash — well above the fair price. Located in Columbus, 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 $62. 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 $74 - $131 183%
Blue Cross Blue Shieldmajor $58 - $131 144%
Aetnamajor $83 - $152 205%
Cignamajor $107 - $152 265%
Humanamajor $91 - $131 225%
AmeriHealth $131 324%
CareSource $58 - $131 144%
Molina $131 324%
UniCare $108 267%
+ 8 smaller / regional plans $103 - $152
Government programs also on file: Military & VA.
Excludes 3 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 700 Children's Drive, Columbus, OH 43205
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens