CMS Price Transparency Data

Prosthetic fitting and training

Facility: Alaska Regional Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $171
Cash Discount Price: $285
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Alaska Regional Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 4.23x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $285 (705%)

Insurance Median: $171 (423%)

Cash: $285 (705% of Medicare)

Ins. Median: $171 (423% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 423% of the Medicare baseline (a markup of 323%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Triwest Healthcare Alliance	$50	124%
Veteran'S Administration	$50	124%
United	$51 - $215	126%
Veterans Evaluation Services	$63	156%
Union Coalition	$84	208%
Union Coalition Cement Masons	$87	215%
Moda Health	$91 - $134	225%
Premerafirst	$141	349%
Geha Ppo Usa	$147 - $249	364%
Cigna	$154	381%
Multiplan	$171 - $265	423%
Coventry Healthcare	$179	443%
First Health	$199	492%
Bering Strait School District	$214	530%
Nreca Group Benefit Trust	$214	530%
Risk & Benefit Management	$214	530%
Banner Health	$228	564%
Matanuska Telephone	$228	564%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $285.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97761.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.