Prosthetic fitting and training
Facility: Bluffton Regional Medical Center
Billing Code: 97761 (CPT)
- CPT Billing Code: 97761
- Insurance Median: $63
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.56x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amish Aid | $19 - $114 | 47% |
| Physicians Health Plan | $19 - $53 | 47% |
| Self Pay | $19 - $262 | 47% |
| Lutheran Preferred Network | $23 - $381 | 57% |
| Theramatrix | $23 | 57% |
| Php Freedom Network | $24 - $77 | 59% |
| Cigna | $25 - $168 | 62% |
| Php | $25 - $52 | 62% |
| Aetna | $28 - $212 | 69% |
| Php Management Systems | $30 - $184 | 74% |
| Lutheran Trma | $31 - $214 | 77% |
| UnitedHealthcare | $34 - $235 | 84% |
| Tricare | $36 | 89% |
| Blue Cross Blue Shield | $38 - $186 | 94% |
| Department Of Veterans Affairs | $38 | 94% |
| Encore Ppo | $38 - $233 | 94% |
| Medicare (plans) | $38 | 94% |
| Node Caresource Mcr Adv | $38 | 94% |
| Node Iu Health Mcr Adv | $38 | 94% |
| Node Mhs Mcr Adv | $38 | 94% |
| Veterans Eval Services | $38 | 94% |
| Humana | $39 - $186 | 97% |
| Node Devoted Health Mcr Adv | $39 | 97% |
| Node Non Par Hospice Agree | $39 | 97% |
| Node Va | $39 | 97% |
| Northeast Hospice | $39 | 97% |
| County Jail Health Care | $40 | 99% |
| In Dept Of Correction | $40 | 99% |
| Node Pphp Mcr Adv | $40 | 99% |
| Sagamore Sebt | $40 - $243 | 99% |
| Sagamore Health Newtork Inc | $42 - $255 | 104% |
| Consumer Life | $48 - $295 | 119% |
| Ahg Dana Employees | $51 - $309 | 126% |
| Align Networks | $55 - $333 | 136% |
| Lutheran Advanced Network | $58 | 144% |
| Lutheran Three Rivers Preferred Plus 150 | $58 | 144% |
| Prime Health Services | $58 - $357 | 144% |
| Private Healthcare Systems Inc | $58 - $357 | 144% |
| Us Department Of Labor | $61 | 151% |
| Multiplan | $62 - $381 | 153% |
| Encore Health Network | $64 - $428 | 158% |
| Advantage 360 | $65 - $395 | 161% |
| Medrisk In Work Comp | $65 | 161% |
| Community Health Alliance | $66 - $405 | 163% |
| First Health | $67 - $409 | 166% |
| Lutheran Three Rivers Preferred Plus 175 | $67 | 166% |
| Encore Work Comp In | $69 | 171% |
| Allied Benefit Systems | $70 - $428 | 173% |
| Cardinal Health Alliance | $70 - $428 | 173% |
| Ppom | $70 - $428 | 173% |
| Lutheran Northwest Health Preferred | $77 | 191% |
| Managed Health Services Exchange | $77 | 191% |
| Workers Compensation | $77 | 191% |
| Encore Kba Epo | $92 | 228% |
| Encore Kba Ppo | $116 | 287% |
| Caresource | $186 | 460% |
| Medicaid / KanCare | $186 | 460% |
| Mhs | $186 | 460% |
| Mhs In Hip | $186 | 460% |