CMS Price Transparency Data

Prosthetic fitting and training

Facility: Astria Toppenish Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.1× the $40 Medicare rate · typically $40–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $40 Fair price $42 This hospital $43 Cash price $116 Hospital's list price $179

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WA hospitals compared.

Cheapest $26 Priciest $48

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

A fair price for a Prosthetic fitting and training is about $42 (about 1.1× the $40 Medicare rate). Astria Toppenish Hospital charges insurers about $43, or about $116 in cash — about the fair price. Located in Toppenish, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $25 - $150 62%
Blue Cross Blue Shieldmajor $58 - $68 144%
Aetnamajor $43 - $159 106%
Cignamajor $43 106%
Humanamajor $43 - $181 106%
Kaiser Permanentemajor $163 403%
Ambetter (Centene) $25 62%
Molina $25 - $32 62%
+ 6 smaller / regional plans $43 - $181
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals