CMS Price Transparency Data

Prosthetic fitting and training

Facility: The Miriam Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 2.0× the $40 Medicare rate · typically $44–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
About the fair price
about $1 under the fair price · 2.0× Medicare
Medicare pays $40 Fair price $82 This hospital $81 Cash price $134 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $42 Priciest $118

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Prosthetic fitting and training is about $82 (about 2.0× the $40 Medicare rate). The Miriam Hospital charges insurers about $81, or about $134 in cash — about the fair price. Located in Providence, RI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $41 - $96 101%
Aetnamajor $42 104%
Cignamajor $233 577%
Tufts Health Plan $150 371%
+ 1 smaller / regional plan $76

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals