CMS Price Transparency Data

Prosthetic fitting and training

Facility: Saint Thomas Highlands Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 0.9× the $40 Medicare rate · typically $38–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
0.9× Medicare
Medicare pays $40 Fair price $38 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 0 of 8 other TN hospitals charge more for the same procedure.

Cheapest $26 Priciest $38

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

A fair price for a Prosthetic fitting and training is about $38 (about 0.9× the $40 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $38 — about the fair price. Located in Sparta, TN.

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 $38 94%
Blue Cross Blue Shieldmajor $23 - $72 57%
Aetnamajor $39 97%
Cignamajor $54 - $58 134%
Humanamajor $38 94%
Ambetter (Centene) $49 121%
Amerigroup $38 94%
Cigna HealthSpring $38 94%
Oscar Health $53 131%
+ 6 smaller / regional plans $34 - $53
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals