CMS Price Transparency Data

Prosthetic fitting and training

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.2× the $40 Medicare rate · typically $35–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $5 over the fair price · 1.3× Medicare
Medicare pays $40 Fair price $48 This hospital $53 Cash price $283 Hospital's list price $283

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $53

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prosthetic fitting and training is about $48 (about 1.2× the $40 Medicare rate). Shriners Hospitals for Children - Philadelphia charges insurers about $53, or about $283 in cash — about the fair price. Located in Philadelphia, PA.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $167 - $180 413%
Blue Cross Blue Shieldmajor $80 198%
Aetnamajor $42 104%
Cignamajor $130 322%
Ambetter (Centene) $42 - $48 104%
AmeriHealth $48 119%
Providence Health Plan $139 344%
+ 1 smaller / regional plan $58

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens