Prosthetic fitting and training
Facility: Cheyenne County Hospital
Billing Code: 97761 (CPT)
- CPT Billing Code: 97761
- Insurance Median: $74
- Cash Discount Price: $78
- vs. Medicare Baseline: 1.83x 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 |
|---|---|---|
| Blue Cross Blue Shield | $50 | 124% |
| First Health - All Plans | $55 | 136% |
| Healthy Blue Mcr Adv | $56 | 139% |
| UnitedHealthcare | $56 - $230 | 139% |
| Aetna | $56 - $74 | 139% |
| Tricare | $56 | 139% |
| Choice Care - All Plans | $57 | 141% |
| Firstguard - All Plans | $62 | 153% |
| Wppa - All Plans | $70 | 173% |
| Preferred Hc - All Plans | $74 | 183% |
| Cpm - All Plans | $74 | 183% |
| Ppo Next - All Plans | $76 | 188% |
| Unicare - All Plans | $76 | 188% |
| Health Partners - All Plans | $76 | 188% |
| Midlands Choice - All Plans | $76 | 188% |
| Integrated Hp - All Plans | $76 | 188% |
| Healthy Blue Mcaid - All Other Plans | $78 | 193% |
| Childrens Mercy - All Plans | $78 | 193% |
| Healthwave Mcaid - All Plans | $78 | 193% |
| Providers Care-All Plans | $117 | 290% |
Consumer Guidance & Cost Commentary
For the CPT code 97761, Prosthetic fitting and training, Cheyenne County Hospital in St. Francis, KS, lists a cash median price of $78.00, which matches the facility's gross charge. This rate is significantly higher than the state average of $40.41, representing a markup of 1.8 times the Medicare benchmark. While commercial payers negotiate rates ranging from $50 to $117 depending on the plan, these negotiated amounts often exceed the cash price. For patients with high-deductible plans, paying the cash rate of $78.00 upfront may be more cost-effective than relying on insurance, which could result in a higher allowed amount that the patient must still cover after their deductible is met.
To ensure you are receiving the best possible rate, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service. Additionally, if you receive a summary bill, request a full itemized statement to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Since over 80% of hospital bills contain errors, reviewing the line-by-line details is the most effective way to identify and correct potential billing mistakes before payment is made.