CMS Price Transparency Data

Prosthetic fitting and training

Facility: Page Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $58
Cash Discount Price: $57
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Page Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.44x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.

Cash / Self-Pay

$57

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: $57 (141%)

Insurance Median: $58 (144%)

Cash: $57 (141% 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
Arizona Physicians Ipa	$24 - $53	59%
Health Net	$24 - $78	59%
Mercy Care	$24 - $53	59%
Humana	$34 - $41	84%
Plotkin Health	$45	111%
Aetna	$53 - $91	131%
Banner Health	$53	131%
Banner University Health Plan	$53	131%
Blue Cross Blue Shield	$53 - $79	131%
Care 1St	$53	131%
Cigna	$53 - $92	131%
Gila River Health Care Corporation	$53	131%
Health Choice Arizona, Inc.	$53 - $64	131%
Kaiser Foundation Health Plan	$53	131%
Triwest Healthcare Alliance Corp - Va Ccn	$53	131%
UnitedHealthcare	$53 - $55	131%
Upmc Health Plan	$53	131%
Wellpoint	$53	131%
Carelon	$56	139%
Arizona Priority Care	$58	144%
Devoted Health Services	$58	144%
Gold Kidney Health Plan	$58	144%
Quiktrip Corporation	$70	173%
Coconino County Sheriff'S Department	$73	181%
Oscar Health Plan	$87	215%
Provider Network Of America	$90	223%
Arizona Medical Network	$95	235%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$95	235%

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 $57.
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 Page 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.