CMS Price Transparency Data

Prosthetic fitting and training

Facility: Tampa General Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $45
Cash Discount Price: $70
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Tampa General Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.11x the Medicare baseline. Located in 1 Tampa General Cir, Tampa, FL.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $70 (173%)

Insurance Median: $45 (111%)

Cash: $70 (173% of Medicare)

Ins. Median: $45 (111% 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	$41	101%
Capital Health Plan Tallahassee	$41	101%
Baycare	$42	104%
Blue Cross Blue Shield	$42	104%
Care Plus Health Plans	$42	104%
Freedom Health	$42	104%
Simply Healthcare	$43 - $69	106%
Ultimate Health Plans	$43	106%
Cigna	$44	109%
Kaiser	$45	111%
Longevity	$45	111%
Devoted Health	$46	114%
Molina	$61	151%
Sunshine Health	$62 - $66	153%
Health First Health Plans	$74	183%
Truli For Health	$78	193%
Oscar	$82	203%

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 $70.
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 Tampa General 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.