CMS Price Transparency Data

Prosthetic fitting and training

Facility: Childrens Hospital of Wisconsin

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 1.1× the $40 Medicare rate · typically $28–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $17 under the fair price · 0.7× Medicare
Medicare pays $40 Fair price $45 This hospital $28 Cash price $93 Hospital's list price $169

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 7 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 $45 (about 1.1× the $40 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $28, or about $93 in cash — below the fair price — a good deal. Located in Milwaukee, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $129 62%
Blue Cross Blue Shieldmajor $29 - $161 72%
Aetnamajor $149 - $161 369%
Cignamajor $152 376%
Dean Health Plan $135 334%
Health Net $144 - $152 356%
HealthPartners $132 - $149 327%
Molina $28 69%
Quartz $144 356%
Security Health Plan $140 346%
+ 21 smaller / regional plans $25 - $152
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens