CMS Price Transparency Data
Prosthetic fitting and training
Facility: Newberry County Memorial 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 $18–$78
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $42 Cash price $56 Hospital's list price $150
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 | $113 - $140 | 280% |
| Blue Cross Blue Shieldmajor | $87 - $101 | 215% |
| Aetnamajor | $102 | 252% |
| Cignamajor | $13 - $120 | 32% |
| Humanamajor | $12 - $97 | 30% |
Government programs also on file: Medicaid.
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Other Procedures at Newberry County Memorial Hospital
Compare: Prosthetic fitting and training at other SC hospitals
- Novant Health Hilton Head Medical Center · Hilton Head Island $28
- Coastal Carolina Hospital · Hardeeville $28
- Conway Medical Center · Conway $38
- MUSC Medical Center · Charleston $39
- Trident Medical Center · Charleston $39
- Grand Strand Regional Medical Center · Myrtle Beach $39
- MUSC Health Black River Medical Center · Cades $39
- Spartanburg Medical Center · Spartanburg $40
Insurance negotiated median for the same procedure, sorted lowest first.