Prosthetic fitting and training
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 97761 (CPT)
- CPT Billing Code: 97761
- Insurance Median: $38
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Via Christi Research | $38 | 94% |
| Va | $38 | 94% |
| Humana | $38 | 94% |
| Vc Hope | $38 | 94% |
| Saint Lukes Health Systems | $38 | 94% |
| Medicare (plans) | $38 - $39 | 94% |
| UnitedHealthcare | $39 - $106 | 97% |
| Blue Cross Blue Shield | $39 | 97% |
| Corizon | $48 | 119% |
| Smarthealth | $53 | 131% |
| Medicaid / KanCare | $65 | 161% |
| Mdsave | $70 | 173% |
Consumer Guidance & Cost Commentary
For the CPT code 97761, representing prosthetic fitting and training, the negotiated rates at Ascension Via Christi Hospitals Wichita, Inc. range from $38 to $106, with a median negotiated amount of $38.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the negotiated rate of $38 falls within the low end of the $38 to $39 range reported for Medicare plans in the same area. While the facility offers a median negotiated rate of $38, patients should be aware that commercial insurance rates can vary significantly; for instance, UnitedHealthcare plans may see rates as high as $106, whereas Medicaid/KanCare plans are set at $65. Because commercial negotiated rates often include administrative overhead and contract dynamics that inflate the baseline price, the cash price for this service may be lower than what a patient would pay if their insurance covers the procedure, particularly if their deductible has not yet been met.
To ensure you receive the most favorable rate, it is recommended to verify the specific "self-pay" or "prompt-pay" discounts available at the hospital before scheduling your visit, as these upfront payment incentives can significantly reduce the final bill. Since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary invoice, which can hide unbundled codes or services not rendered. When evaluating the cost, it is important to compare the facility's rates against the Medicare benchmark of $40.41, which serves as an objective baseline for the true cost of care. While the facility's median negotiated rate of $3