CMS Price Transparency Data
Prosthetic fitting and training
Facility: Gundersen St Josephs Hospital and Clinics
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$139
about 3.5× the $40 Medicare rate · typically $42–$207
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $139 Cash price $188 Hospital's list price $324
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 | $172 - $226 | 426% |
| Blue Cross Blue Shieldmajor | $94 - $352 | 233% |
| Aetnamajor | $308 | 762% |
| Cignamajor | $266 | 658% |
| Humanamajor | $275 | 681% |
| Amerigroup | $15 | 37% |
| Quartz | $177 | 438% |
| Security Health Plan | $64 | 158% |
| UCare | $168 - $259 | 416% |
| + 4 smaller / regional plans | $94 - $275 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gundersen St Josephs Hospital and Clinics
Compare: Prosthetic fitting and training at other WI hospitals
- Childrens Hospital of Wisconsin Fox Valley · Neenah $27
- Childrens Hospital of Wisconsin · Milwaukee $28
- SSM Health St Clare Hospital - Baraboo · Baraboo $34
- SSM Health St Mary's Hospital - Madison · Madison $34
- The Monroe Clinic · Monroe $39
- St Nicholas Hospital · Sheboygan $39
- St Josephs Community Hospital West Bend · West Bend $39
- St Marys Hospital Medical Ctr · Green Bay $39
Insurance negotiated median for the same procedure, sorted lowest first.