CMS Price Transparency Data
Prosthetic fitting and training
Facility: Highpoint Health-Sumner With Ascension Saint Thoma
Billing Code: 97761 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$59
about 1.5× the $40 Medicare rate · typically $41–$113
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $59 Cash price $38 Hospital's list price $143
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 | $221 | 547% |
| Blue Cross Blue Shieldmajor | $86 - $103 | 213% |
| Cignamajor | $162 - $179 | 401% |
Self-Pay How to get the cash price
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Other Procedures at Highpoint Health-Sumner With Ascension Saint Thoma
Compare: Prosthetic fitting and training at other TN hospitals
- Baptist Memorial Hospital - Carroll County · Huntingdon $26
- Unity Medical Center · Manchester $28
- University Health System, Inc · Knoxville $38
- Lafollette Medical Center · La Follette $38
- Methodist Hospitals of Memphis · Memphis $38
- Lincoln Medical Center · Fayetteville $38
- Dekalb Community Hospital · Smithville $38
- Saint Thomas Highlands Hospital · Sparta $38
Insurance negotiated median for the same procedure, sorted lowest first.