CMS Price Transparency Data

Prosthetic fitting and training

Facility: Harrison County Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $40
Cash Discount Price: $89
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Harrison County Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.99x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $89 (220%)

Insurance Median: $40 (99%)

Cash: $89 (220% of Medicare)

Ins. Median: $40 (99% 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
Tricare	$29	72%
Aetna	$31 - $148	77%
Blue Cross Blue Shield	$31 - $148	77%
Caresource Mcaid Hip	$31	77%
Caresource Mcr Adv	$31	77%
Humana	$31 - $99	77%
Mdwise Mcaid Hip	$31	77%
Mhs Exchange-All Other Plans	$31	77%
Mhs Mcaid Hip	$31	77%
Mhs Mcr Adv	$31	77%
Passport Mcaid-All Other Plans	$31	77%
Passport Mcr Adv	$31	77%
UnitedHealthcare	$31 - $148	77%
Communicare Adv-All Plans	$32	79%
Siho Exchange	$32	79%
Passport Mcaid Beh Hlth	$37	92%
Caresource Exchange-All Other Plans	$40	99%
Buckeye Exchange-All Plans	$51	126%
Siho One Southern	$74	183%
Encore Encircle	$118	292%
Sagamore-All Plans	$118	292%
Siho Ppo/Hmo - All Other Plans	$118	292%
Beech Street Comm-All Plans	$126	312%
First Health-All Plans	$126	312%
Cigna	$133	329%
Encore Ppo - All Other Plans	$133	329%
Multiplan-All Plans	$133	329%
Caresource Mcaid Hhw	$148	366%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$148	366%
Mhs Mcaid Hhw/Hcc	$148	366%

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 $89.
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 Harrison County 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.