CMS Price Transparency Data

Prosthetic fitting and training

Facility: Fairview Park Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $67
Cash Discount Price: $305
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Fairview Park Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.66x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$305

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $305 (755%)

Insurance Median: $67 (166%)

Cash: $305 (755% of Medicare)

Ins. Median: $67 (166% 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
Health Net	$37	92%
Humana	$37 - $38	92%
Aetna	$38 - $168	94%
Devoted Health	$38	94%
Healthspring	$38	94%
Hospice Care Options	$38	94%
Southern Care Birmingham	$38	94%
United	$38 - $137	94%
Blue Cross Blue Shield	$39	97%
Coventry	$39	97%
Wellcare	$39 - $61	97%
Clover	$40	99%
Eon Health	$40	99%
Georgia Assurance	$40	99%
Shared Health	$40	99%
Amerigroup	$41	101%
Ambetter / Centene	$45	111%
Friday Health	$46	114%
Ryan White Care Act	$57	141%
Nhc Advantage	$58	144%
Pruitt Health	$58	144%
Peach State	$61	151%
Memorial Health Plan	$67 - $137	166%
Cigna	$83 - $111	205%
Centurion	$84	208%
Americas 1St Choice	$85	210%
Leavitt Risk Partners	$92	228%
Health One Alliance	$140	346%
Dodge County Hospital	$152	376%
American Steel Products	$259	641%
City Of Eastman	$259	641%
Dodge Co Board Of Commissioners	$259	641%
Graham Brothers Construction	$259	641%
Multiplan	$274	678%
Novanet	$274	678%

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 $305.
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 Fairview Park 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.