CMS Price Transparency Data
Prosthetic fitting and training
Facility: Monterey Park Hospital
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $76
- Cash Discount Price: $381
- vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Monterey Park Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $381. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.88x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$381
Average discount available for prompt cash payment at this facility.
Insurance Median
$76
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: $381 (943%)
Insurance Median: $76 (188%)
Cash: $381 (943% of Medicare)
Ins. Median: $76 (188% 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.
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 |
|---|---|---|
| Preferred Ipa | $27 - $57 | 67% |
| Veterans Administration | $32 | 79% |
| Applecare Medical Group | $36 | 89% |
| Associated Hispanic Physicians Ancillary | $36 | 89% |
| Bella Vista Medical Group | $36 - $114 | 89% |
| Altamed Health Services Corporation | $38 | 94% |
| Care 1St M Cal | $38 | 94% |
| Crown City Medical Group Inc | $38 | 94% |
| Physician Healthways | $38 - $55 | 94% |
| Universal Care M Cal/Advantage Health Network | $38 | 94% |
| Senior Citizens Choice | $40 | 99% |
| Aetna | $45 - $277 | 111% |
| Aids Health Foundation | $45 | 111% |
| Alignment Health Plan | $45 | 111% |
| Allied Physicians | $45 - $68 | 111% |
| Alta Med Health Services Corp | $45 - $95 | 111% |
| Altamed Health Network | $45 | 111% |
| Apa/Aco Inc | $45 | 111% |
| Avanti | $45 - $54 | 111% |
| Beverly Hospital | $45 - $50 | 111% |
| Blue Cross Blue Shield | $45 - $231 | 111% |
| Blue Shield Of California | $45 - $433 | 111% |
| Brand New Day | $45 - $57 | 111% |
| Cms | $45 | 111% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $45 | 111% |
| Easy Choice Health Plan | $45 | 111% |
| Emanate Health | $45 - $57 | 111% |
| First Health Senior | $45 | 111% |
| Foundation Health Plan | $45 | 111% |
| Health Net | $45 - $135 | 111% |
| Health Net Inc | $45 - $234 | 111% |
| Humana | $45 | 111% |
| La Care | $45 | 111% |
| La Care Covered Direct | $45 | 111% |
| La Care Health Plan | $45 - $210 | 111% |
| Maxi Med Inc/Ipa | $45 | 111% |
| Medicare (plans) | $45 - $47 | 111% |
| Scan Health Plan | $45 | 111% |
| Secure Horizons | $45 | 111% |
| Self-Pay | $45 | 111% |
| Ucla/Impact Cancer | $45 | 111% |
| UnitedHealthcare | $45 - $267 | 111% |
| Access Ipa Ancillary | $46 | 114% |
| Molina Healthcare Medi-Connect | $47 | 116% |
| San Miguel Health Plan | $50 | 124% |
| Garfield Medical Center | $54 | 134% |
| Ahmc Health Epo | $57 | 141% |
| Health Net Medi Cal | $57 | 141% |
| Knox-Keene Act | $57 | 141% |
| Molina Healthcare Of California | $57 | 141% |
| Allied Physicians Ipa | $60 | 148% |
| Esperanza Medical Group Ipa | $60 | 148% |
| Family Health Alliance Medical Group | $60 | 148% |
| Pacific Independent Physician Association | $60 | 148% |
| Employee Health Systems Medical Group | $76 | 188% |
| Global Care Medical Group Ipa | $76 - $171 | 188% |
| Healthnet/Ehs Capitation | $76 | 188% |
| Hispanic Physicians Ipa Medical Corporation | $95 | 235% |
| Ahmc Healthcare Inc | $114 | 282% |
| Ahmc Reciprocity Agreement Senior/Commercial | $114 | 282% |
| Community Health Plan M Cal Joy Ipa | $114 | 282% |
| Tenet Reciprocity | $114 | 282% |
| Health Net Of California | $135 - $228 | 334% |
| Healthcare Partners Affiliates Medical Group | $136 | 337% |
| Molina Medical Centers | $149 | 369% |
| Central Health Plan Of California | $152 | 376% |
| Pacificare | $219 - $263 | 542% |
| Alhambra Community Dialysis Unit Inc | $229 | 567% |
| Care 1St Health Plan | $229 | 567% |
| Greater Los Angeles Dialysis Inc | $229 | 567% |
| One Health Plan | $229 - $775 | 567% |
| Choice Care Network | $248 | 614% |
| Healthnet | $248 | 614% |
| Universal Care | $267 | 661% |
| Interplan | $286 | 708% |
| Corvel Corporation | $305 - $925 | 755% |
| Preferred Health Network | $305 | 755% |
| Bce Emergis Corp | $324 | 802% |
| Multiplan | $324 | 802% |
| Commercial Non Contract | $381 | 943% |
| Mri/Ct Greater El Monte Hospital | $381 | 943% |
| Mri/Mra/Alhambra Hospital | $381 | 943% |
| Mri/Mra/Eladh | $381 | 943% |
| One Legacy | $381 | 943% |
| Cigna | $525 | 1299% |