CMS Price Transparency Data

Prosthetic fitting and training

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $49
Cash Discount Price: $46
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Medical West, An Affiliate of UAB Health System is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.21x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $46 (114%)

Insurance Median: $49 (121%)

Cash: $46 (114% of Medicare)

Ins. Median: $49 (121% 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.

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
Aetna	$10 - $43	25%
Cigna	$15 - $213	37%
Viva	$30	74%
Phcs	$37 - $43	92%
Beech Street	$38 - $43	94%
Triwest	$38	94%
One Health Plan	$40	99%
Geha	$43	106%
Healthchoice	$43	106%
Alamed	$48	119%
Construction Claims Management	$49	121%
Corvel	$50 - $55	124%
Multiplan	$50	124%
Novanet	$51	126%
Humana	$52	129%
Department Of Labor	$53	131%
Heritage Summit Health	$53	131%
Pnoa	$55	136%
Three Rivers	$55	136%
UnitedHealthcare	$166	411%

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 $46.
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 Medical West, An Affiliate of UAB Health System 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.