Prosthetic fitting and training
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 97761 (CPT)
- CPT Billing Code: 97761
- Insurance Median: $50
- Cash Discount Price: $63
- vs. Medicare Baseline: 1.24x 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 |
|---|---|---|
| Direct Benefit-All Plans | $17 | 42% |
| UnitedHealthcare | $20 - $70 | 49% |
| Berkley Net-All Plans | $28 | 69% |
| Aetna | $31 - $48 | 77% |
| Trustmark Health Benefits-All Plans | $31 | 77% |
| Meritain Health-All Plans | $32 | 79% |
| Ambetter / Centene | $34 | 84% |
| Axa Equitable - All Plans | $38 | 94% |
| Pinnacol-All Plans | $39 | 97% |
| Medi-Share-All Plans | $40 | 99% |
| Presbyterian-All Plans | $43 | 106% |
| Kasb Work Comp - All Plans | $45 | 111% |
| The Kempton Group Admin-All Plans | $48 | 119% |
| Auxiant - All Plans | $49 | 121% |
| Gpha(Wppa)-All Other Plans | $49 | 121% |
| Sisco-All Plans | $50 | 124% |
| Wppa- All Plans | $50 | 124% |
| Providers Care Network- All Plans | $50 | 124% |
| Emc-All Plans | $50 | 124% |
| Gpha Employee Benefit Plan | $51 | 126% |
| Regional Care(Wppa)-All Plans | $52 | 129% |
| Employee Benefit-All Plans | $52 | 129% |
| First Health -All Plans | $53 | 131% |
| Triangle-All Plans | $53 | 131% |
| One Call Physician-All Plans | $54 | 134% |
| Blue Cross Blue Shield | $55 | 136% |
| Tricare | $56 | 139% |
| Christian Hospital Aid - All Plans | $56 | 139% |
| Humana | $60 | 148% |
| Luminare Health- All Plans | $62 | 153% |
| Cigna | $62 | 153% |
| Deseret Mutual(Uhis)-All Plans | $63 | 156% |
| Coresource-All Plans | $63 | 156% |
| Vaccn-All Plans | $64 | 158% |
| Hma Llc-All Plans | $66 | 163% |
| Wps Vapc-All Plans | $66 | 163% |
| Reserve National-All Plans | $66 | 163% |
| Medicaid / KanCare | $70 | 173% |
Consumer Guidance & Cost Commentary
For the CPT code 97761, Prosthetic fitting and training, the facility's cash price of $63.00 is higher than the reported state average of $50.00. While commercial insurance negotiates rates ranging from $17 to $70 across 38 payers, the cash price may be more cost-effective for patients with high-deductible plans or those without insurance, as some negotiated rates exceed the cash amount. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier, and should inquire directly about self-pay or prompt-pay discounts to potentially lower the final cost.
This service is provided by Satanta District Hospital, a Critical Access Hospital in Kansas, with a Medicare benchmark of $40.41. The facility's cash rate of $63.00 represents a 1.2x markup relative to the Medicare amount, which aligns with typical commercial pricing structures that often range from 200% to 300% of Medicare rates due to administrative overhead and contract dynamics. To ensure you are receiving the most accurate pricing, request an itemized bill to review specific CPT codes and avoid summary bills that may obscure individual charges, and always confirm your deductible status before proceeding with insurance claims.