CMS Price Transparency Data

Prosthetic fitting and training

Facility: Fhn Memorial Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $63
Cash Discount Price: $72
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Fhn Memorial Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.56x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $72 (178%)

Insurance Median: $63 (156%)

Cash: $72 (178% of Medicare)

Ins. Median: $63 (156% 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
Meridian Health Plan - All Plans	$31	77%
Aetna	$39 - $50	97%
Health Alliance Mcr Adv	$39	97%
Humana	$39 - $71	97%
Quartz Mcr Adv	$39	97%
UnitedHealthcare	$39 - $70	97%
The Alliance - All Plans	$54	134%
Ecoh Nihp	$57	141%
Nihp Employ - All Plans	$57	141%
Quartz - All Other Plans	$58	144%
Blue Cross Blue Shield	$61	151%
Ecoh - All Other Plans	$61	151%
Northern Il Hp - All Plans	$62	153%
First Health - All Plans	$63	156%
Health Alliance - All Other Plans	$65	161%
Hfn - All Plans	$74	183%
First Choice Il - All Plans	$76	188%
Multiplan Phcs - All Plans	$76	188%
Wps - All Plans	$79	195%
Galaxy - All Plans	$81	200%
Interplan Health - All Plans	$81	200%
Preferred Plan Ppo - All Plans	$81	200%
Trustmark - All Plans	$83	205%
Midland Choice - All Plans	$86	213%
Osf Healthplans - All Plans	$90	223%

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 $72.
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 Fhn Memorial 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.