CMS Price Transparency Data

Prosthetic fitting and training

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $39
Cash Discount Price: $25
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Loma Linda University Medical Center-Murrieta is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.97x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $25 (62%)

Insurance Median: $39 (97%)

Cash: $25 (62% of Medicare)

Ins. Median: $39 (97% 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
Kaiser Foundation Hospitals	$10 - $26	25%
Adventist Health	$11 - $23	27%
Lluh Dept Of Risk Management	$14	35%
Aetna	$29 - $38	72%
Alpha Care Medical Group	$30 - $47	74%
Heritage Provider Network	$34 - $37	84%
Cigna	$36	89%
Epic Health Plan	$36	89%
Molina Healthcare Of Ca	$38	94%
Multiplan	$41	101%
Dignity Health	$47	116%
Vantage Medical Group	$47	116%
Trivalley Medical Group	$100	247%
UnitedHealthcare	$220 - $261	544%
Blue Shield Of California	$284 - $354	703%
Blue Cross Blue Shield	$334	827%

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 $25.
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 Loma Linda University Medical Center-Murrieta 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.