CMS Price Transparency Data

Prosthetic fitting and training

Facility: SSM Health St Mary's Hospital - Madison

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.2× the $40 Medicare rate · typically $36–$113
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $13 under the fair price · 0.8× Medicare
Medicare pays $40 Fair price $47 This hospital $34 Cash price $124 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 5 of 8 other WI hospitals charge more for the same procedure.

Cheapest $27 Priciest $39

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prosthetic fitting and training is about $47 (about 1.2× the $40 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $34, or about $124 in cash — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $39 97%
Molina $29 72%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 700 South Park St, Madison, WI 53715
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals