Prosthetic fitting and training
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Medicare (plans) | $38 - $39 | 94% |
| Humana | $38 | 94% |
| Va | $38 | 94% |
| Vc Hope | $38 | 94% |
| Saint Lukes Health Systems | $38 | 94% |
| UnitedHealthcare | $39 - $106 | 97% |
| Blue Cross Blue Shield | $39 | 97% |
| Corizon | $48 | 119% |
| Smarthealth | $53 | 131% |
| Medicaid / KanCare | $65 | 161% |
Consumer Guidance & Cost Commentary
For the CPT code 97761, Prosthetic fitting and training, the negotiated rates at Via Christi Hospital Wichita St Teresa, Inc. range from $38 to $106 depending on the payer. The median negotiated rate across all payers is $38, which aligns closely with the state average of $38.00. While the facility's cash median is not listed in this report, patients with high-deductible plans should be aware that paying cash upfront can sometimes be cheaper than the insurance negotiated rate, as commercial contracts often include administrative markups that exceed the actual cost of care. It is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill if paid in full before services are rendered.
The facility's pricing is benchmarked against Medicare, which serves as a reliable baseline for evaluating commercial rates. The Medicare amount for this service is $40.41, and the facility's vs_medicare ratio is 0.9, indicating that the negotiated rates are generally consistent with or slightly below the federal government's cost-based reimbursement. This suggests the facility is not applying excessive markups compared to the national standard. Patients should avoid using the hospital's full chargemaster list as a benchmark, as these inflated figures do not reflect actual costs. Instead, comparing the $38 median negotiated rate to the $40.41 Medicare amount provides a clearer picture of fair pricing. If a patient receives a bill significantly higher than these figures, they should request an itemized billing audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills