CMS Price Transparency Data
Prosthetic fitting and training
Facility: St Marys Rehabilitation Hospital
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.1× the $40 Medicare rate · typically $31–$109
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $42 Cash price $146 Hospital's list price $146
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $71 - $221 | 176% |
| Aetnamajor | $71 - $221 | 176% |
| Cignamajor | $71 - $221 | 176% |
| Humanamajor | $71 - $221 | 176% |
| Ambetter (Centene) | $71 - $221 | 176% |
| + 11 smaller / regional plans | $71 - $221 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Prosthetic fitting and training at other PA hospitals
- Hospital of the Fox Chase Cancer Center · Philadelphia $19
- Rothman Orthopaedic Specialty Hospital · Bensalem $22
- Jefferson Abington Hospital · Abington $27
- St Luke's Hospital - Easton Campus · Easton $28
- Geisinger St. Luke's Hospital · Orwigsburg $28
- Chan Soon- Shiong Medical Center at Windber · Windber $36
- UPMC Wellsboro · Wellsboro $36
- Heritage Valley Beaver · Beaver $38
Insurance negotiated median for the same procedure, sorted lowest first.