CMS Price Transparency Data

Prosthetic fitting and training

Facility: Henry Ford Health Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $66
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Henry Ford Health Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.63x the Medicare baseline. Located in 2799 W Grand Blvd, Detroit, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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%)
Insurance Median: $66 (163%)
Ins. Median: $66 (163% 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.

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 $22 - $70 54%
Hap $22 - $65 54%
Mclaren $22 54%
Meridian Health Plan Of Mi $22 54%
Priority Health $22 - $85 54%
Molina $23 - $71 57%
Blue Cross Blue Shield $24 - $96 59%
Molina Mi Health Link $33 82%
Humana $38 - $72 94%
Wellcare $41 101%
Vitalcore Physicians Group Of Mi $56 139%
Cigna $58 - $75 144%
Mclaren Health $67 166%
Ontario Ministry Of Health And Long-Term Care $67 166%
Multiplan, Inc. $74 183%
UnitedHealthcare $79 195%
University Of Michigan $89 220%
Cofinity Group Health $96 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2799 W Grand Blvd, Detroit, MI 48202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals