CMS Price Transparency Data

Prosthetic fitting and training

Facility: Rio Grande Regional Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.0× the $40 Medicare rate · typically $39–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $39 This hospital $41

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $41

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

A fair price for a Prosthetic fitting and training is about $39 (about 1.0× the $40 Medicare rate). Rio Grande Regional Hospital charges insurers about $41 — about the fair price. Located in McAllen, TX.

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 $40 99%
Blue Cross Blue Shieldmajor $39 - $244 97%
Aetnamajor $40 99%
Cignamajor $39 97%
Humanamajor $39 - $543 97%
Molina $43 - $95 106%
WellMed $38 94%
+ 11 smaller / regional plans $39 - $82
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals