CMS Price Transparency Data

Prosthetic fitting and training

Facility: Rapides Regional Medical Center

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $40
Cash Discount Price: $571
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Rapides Regional Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.99x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $571 (1413%)

Insurance Median: $40 (99%)

Cash: $571 (1413% of Medicare)

Ins. Median: $40 (99% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$20 - $198	49%
Amerigroup	$20	49%
Amerihealth Mercy La Lacare	$20	49%
Louisiana Healthcare Connections, Inc.	$20	49%
United	$20 - $128	49%
Humana	$22 - $188	54%
Triwest Healthcare Alliance	$37	92%
Vantage Health Plan	$37 - $99	92%
Blue Cross Blue Shield	$38 - $87	94%
Devoted Health	$38	94%
United Va Ccn	$38	94%
Dignity Care Corporation	$39	97%
Wellcare	$40	99%
Medical Development International	$43	106%
Universal Healthcare	$45	111%
Allegiance Health Management	$68	168%
Verity	$171	423%
Cigna	$179	443%
Ppo Plus	$217	537%
Louisiana Workers Compensation Corporation	$280	693%
Gilsbar 360	$303	750%
Multiplan	$310 - $332	767%
Dma Regional Ppo	$400	990%
Employers Health Network	$400	990%
First Health	$400	990%
Healthsouth Corporation	$400	990%
Plan Vista Solutions (Nppn)	$445	1101%
Bestcomp	$463	1146%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $571.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rapides Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97761.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.