CMS Price Transparency Data

Prosthetic fitting and training

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $58
Cash Discount Price: $30
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Banner - University Medical Center Tucson Campus is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.44x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $30 (74%)

Insurance Median: $58 (144%)

Cash: $30 (74% of Medicare)

Ins. Median: $58 (144% 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	$23 - $81	57%
Arizona Physicians Ipa	$28	69%
Health Net	$28 - $61	69%
Mercy Care	$28	69%
Health Choice Arizona, Inc.	$34 - $56	84%
University Of Arizona (Kasser Medical Treatment Center)	$40	99%
Arizona Priority Care	$45	111%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$51	126%
Plotkin Health	$51	126%
Oscar Health Plan	$56	139%
Quiktrip Corporation	$61	151%
Provider Network Of America	$85	210%
Arizona Medical Network	$90	223%
Blue Cross Blue Shield	$123 - $164	304%
Cigna	$225	557%
UnitedHealthcare	$268	663%

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 $30.
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 Banner - University Medical Center Tucson Campus 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.