CMS Price Transparency Data

Prosthetic fitting and training

Facility: Providence Holy Family Hospital

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.4× the $40 Medicare rate · typically $49–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Above the fair price
about $9 over the fair price · 1.6× Medicare
Medicare pays $40 Fair price $57 This hospital $66

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $26 Priciest $66

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 $57 (about 1.4× the $40 Medicare rate). Providence Holy Family Hospital charges insurers about $66 — above the fair price. Located in Spokane, WA.

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 $57. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Kaiser Permanente AetnaCignaHumana

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 $45 - $50 111%
Blue Cross Blue Shieldmajor $43 - $84 106%
Kaiser Permanentemajor $42 - $129 104%
Providence Health Plan $110 272%
+ 2 smaller / regional plans $67 - $77

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5633 North Lidgerwood, Spokane, WA 99208
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals