Prosthetic fitting and training
Facility: Mitchell County Hospital Health Systems
Billing Code: 97761 (CPT)
- CPT Billing Code: 97761
- Insurance Median: $72
- Cash Discount Price: $68
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| UnitedHealthcare | $38 - $76 | 94% |
| Blue Cross Blue Shield | $50 | 124% |
| Triwest Well Mark All Plans | $65 | 161% |
| Pref Hlth Care Sytms Comm - All Plans | $68 | 168% |
| Aetna | $68 | 168% |
| First Health-All Plans | $68 | 168% |
| Phc Leased Ntwrk Access - All Plans | $72 | 178% |
| Auxiant-All Plans | $72 | 178% |
| Multiplan Ppo - All Plans | $72 | 178% |
| Cigna | $75 | 186% |
| Health Partners Ks-All Plans | $75 | 186% |
Consumer Guidance & Cost Commentary
For the CPT code 97761, "Prosthetic fitting and training," the gross charge at Mitchell County Hospital Health Systems in Beloit, KS, is $76.00. While the facility's cash median rate is $68.00, the negotiated rates paid by in-network insurers range from $38.00 to $76.00, with most major payers settling at $68.00 to $75.00. It is important to note that for patients with high-deductible plans, paying the cash price of $68.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rate may exceed the cash price once deductibles are met. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final amount owed.
This service is provided by a Critical Access Hospital, and the facility is owned by the local government. The pricing data reflects a vintage of June 2026, with the Medicare benchmark amount set at $40.41. While the specific county or state average for this procedure is not included in the provided data, the facility's cash rate of $68.00 represents a significant markup over the Medicare baseline. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected ancillary charges from out-of-network providers can still occur. To ensure accuracy, consumers should request a full itemized bill to verify that all charges correspond to services actually rendered and to identify any potential