CMS Price Transparency Data
Prosthetic fitting and training
Facility: Christus Southeast Texas- St Elizabeth
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$106
about 2.6× the $40 Medicare rate · typically $46–$188
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $106 Cash price $56 Hospital's list price $170
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 | $74 - $185 | 183% |
| Blue Cross Blue Shieldmajor | $151 - $199 | 374% |
| Aetnamajor | $339 - $396 | 839% |
| Cignamajor | $245 - $313 | 606% |
| Humanamajor | $184 | 455% |
| + 2 smaller / regional plans | $225 - $236 |
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Other Procedures at Christus Southeast Texas- St Elizabeth
Compare: Prosthetic fitting and training at other TX hospitals
- Winkler County Memorial Hospital · Kermit $25
- Parkland Health & Hospital System · Dallas $26
- PAM Specialty Hospital of Texarkana North · Texarkana $26
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $27
- PAM Health Rehabilitation Hospital of El Paso · El Paso $29
- Titus Regional Medical Center · Mount Pleasant $33
- Memorial Medical Center · Port Lavaca $34
- Childrens Medical Ctr of Dallas · Dallas $35
Insurance negotiated median for the same procedure, sorted lowest first.