Prosthetic fitting and training
Facility: Southwestern Vermont Medical Center
Billing Code: 97761 (CPT)
This hospital's typical commercial price is $40 compared to the $34 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.18× fair market pricing.
A typical price — 2 charge more and 2 charge less, among the 6 VT hospitals compared.
Black dot = this hospital, among the 6 VT hospitals with a price for this procedure. Full list below.
A fair price for a Prosthetic fitting and training is about $34 (about 0.8× the $40 Medicare rate). Southwestern Vermont Medical Center charges insurers about $40, or about $112 in cash — above the fair price. Located in Bennington, VT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $34. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $31 - $56 | 77% |
| Blue Cross Blue Shieldmajor | $32 - $40 | 79% |
| Aetnamajor | $40 - $44 | 99% |
| Cignamajor | $40 - $45 | 99% |
| Humanamajor | $40 | 99% |
| CDPHP | $36 - $57 | 89% |
| Fidelis Care | $40 - $42 | 99% |
| Harvard Pilgrim | $45 | 111% |
| MVP Health Care | $31 - $59 | 77% |
| Tufts Health Plan | $39 | 97% |
| WellCare | $40 | 99% |
| + 3 smaller / regional plans | $33 - $56 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Southwestern Vermont Medical Center
Compare: Prosthetic fitting and training at other VT hospitals
- Springfield Hospital · Springfield $33
- Grace Cottage Hospital · Townshend $36
- Brattleboro Memorial Hospital · Brattleboro $40
- Central Vermont Medical Center · Barre $41
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $42
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Southwestern Vermont Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $58
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $58).
Self-Pay Cash Rate ($112) Beats Your Bill
Southwestern Vermont Medical Center's published 45 CFR § 180 self-pay cash rate is $112 (vs. $40 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $34 Fair BaseRate ($40 Medicare)
Your bill ($160) is $126 above the denoised Fair BaseRate ($34) and 4.0× the $40 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.