CMS Price Transparency Data
Prosthetic fitting and training
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $139
- Cash Discount Price: $118
- vs. Medicare Baseline: 3.44x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Trinity Health Ann Arbor Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 3.44x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$118
Average discount available for prompt cash payment at this facility.
Insurance Median
$139
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: $118 (292%)
Insurance Median: $139 (344%)
Cash: $118 (292% of Medicare)
Ins. Median: $139 (344% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 344% of the Medicare baseline (a markup of 244%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $22 - $65 | 54% |
| Medicaid / KanCare | $22 | 54% |
| Huron Valley Pace | $38 | 94% |
| Aetna | $39 - $101 | 97% |
| Blue Care Network Advantage | $39 | 97% |
| Medicare (plans) | $39 - $40 | 97% |
| Align Senior Care | $40 | 99% |
| Angela Hospice | $40 | 99% |
| Hospice Advantage | $40 | 99% |
| UnitedHealthcare | $41 - $163 | 101% |
| Cca - Zing Health | $42 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $45 | 111% |
| Point Comfort Underwriters | $45 | 111% |
| Molina Marketplace | $52 | 129% |
| Wc Accident Fund | $52 | 129% |
| Wc Advantage | $52 | 129% |
| Wc Aig | $52 | 129% |
| Wc Allied | $52 | 129% |
| Wc Amerisure | $52 | 129% |
| Wc Amtrust | $52 | 129% |
| Wc Asu Risk Mgt | $52 | 129% |
| Wc Berkley Admin | $52 | 129% |
| Wc Broadspire | $52 | 129% |
| Wc Bunch & Associates | $52 | 129% |
| Wc Ccmsi | $52 | 129% |
| Wc Emc Insurance Company | $52 | 129% |
| Wc Esis | $52 | 129% |
| Wc Fcci | $52 | 129% |
| Wc Federated | $52 | 129% |
| Wc Gallagher Bassett | $52 | 129% |
| Wc Genex Care For Ohio | $52 | 129% |
| Wc Guard Insurance Company | $52 | 129% |
| Wc Hartford | $52 | 129% |
| Wc Liberty Mutual | $52 | 129% |
| Wc Meijers | $52 | 129% |
| Wc Michigan | $52 | 129% |
| Wc Mitchell Frankenmuth | $52 | 129% |
| Wc Pma | $52 | 129% |
| Wc Sedgwick | $52 | 129% |
| Wc Sentry | $52 | 129% |
| Wc Travelers | $52 | 129% |
| Wc Tristar | $52 | 129% |
| Wc Walmart | $52 | 129% |
| Wc Zurich | $52 | 129% |
| Priority Health | $58 - $64 | 144% |
| Health Cost Solutions | $60 | 148% |
| Wellpath | $60 - $62 | 148% |
| U Of M Health Plan | $62 | 153% |
| Vitalcore | $62 | 153% |
| Bcn Domestic | $65 | 161% |
| Blue Benefit Administrators Of Massachusetts | $65 | 161% |
| Blue Care Network | $65 | 161% |
| Blue Distinction Transplant | $65 | 161% |
| Blue Shield - Ca | $65 | 161% |
| Blue Shield - Id (Regence) | $65 | 161% |
| Blue Shield - Ny Highmark Northeastern | $65 | 161% |
| Blue Shield - Ny Highmark Western | $65 | 161% |
| Blue Shield - Pa (Highmark) | $65 | 161% |
| Blue Shield - Wa (Regence) | $65 | 161% |
| Health Choices | $65 - $139 | 161% |
| Kaiser Domestic | $65 | 161% |
| Asr Health Benefits | $77 | 191% |
| Caresource | $77 | 191% |
| Hap | $77 - $139 | 191% |
| Varipro | $77 | 191% |
| Acs Benefit Services | $84 | 208% |
| Allied Benefit Systems | $84 | 208% |
| Claimchoice Adminstrators | $84 | 208% |
| Consociate | $84 | 208% |
| Cypress Benefit Administrators | $84 | 208% |
| Forest County Potawatomi | $84 | 208% |
| Health Smart | $84 | 208% |
| Healthgram | $84 | 208% |
| Healthscope | $84 | 208% |
| Secureone Preferred United Plans | $84 | 208% |
| Sisco Benefits | $84 | 208% |
| The Health Plan | $84 | 208% |
| Trustmark Small Business Benefits | $84 | 208% |
| Unified Group Services | $84 | 208% |
| Webtpa | $84 | 208% |
| Employee Benefit Logistic | $90 | 223% |
| Geha | $101 - $132 | 250% |
| Meritain | $101 | 250% |
| 1199 National Benefit Fund | $139 | 344% |
| Access Health | $139 | 344% |
| Acclaim | $139 | 344% |
| Administrative Concepts | $139 | 344% |
| Allegeant | $139 | 344% |
| Allied National Global Care | $139 | 344% |
| Ameriben | $139 | 344% |
| American Family | $139 | 344% |
| American Healthcare Alliance | $139 | 344% |
| American National | $139 | 344% |
| American Republic | $139 | 344% |
| Amerihealth | $139 | 344% |
| Asrm - Reliance Standard Life Insurance | $139 | 344% |
| Aultcare | $139 | 344% |
| Automated Benefit Services | $139 | 344% |
| Auxiant | $139 | 344% |
| Benefit Administrative Systems,Llc | $139 | 344% |
| Boon Chapman | $139 | 344% |
| Cam Administrative Services | $139 | 344% |
| Christian Brother Services | $139 | 344% |
| Christian Brothers Holy Cross | $139 | 344% |
| Christian Care Ministry | $139 | 344% |
| Comprehensive Benefits | $139 | 344% |
| Continental Life Insurance | $139 | 344% |
| Coventry | $139 | 344% |
| Custom Benefit Administrators | $139 | 344% |
| Dean Health | $139 | 344% |
| Employee Benefit Concepts | $139 | 344% |
| Employee Benefit Management | $139 | 344% |
| Enterprise Group Planning | $139 | 344% |
| Fallon Health | $139 | 344% |
| Family Life Insurance Company | $139 | 344% |
| Freedom Life Insurance Company | $139 | 344% |
| Ghc Scw | $139 | 344% |
| Group Administrators | $139 | 344% |
| Group Marketing Services | $139 | 344% |
| Group Pension Administrators | $139 | 344% |
| Guardian | $139 | 344% |
| Health America | $139 | 344% |
| Health Partners | $139 | 344% |
| Healthcare Management Admin | $139 | 344% |
| Healthez | $139 | 344% |
| Humana | $139 | 344% |
| Insight | $139 | 344% |
| Intercare | $139 | 344% |
| International Benefit Administrators | $139 | 344% |
| Jfp Benefit Management | $139 | 344% |
| Jp Farley Corporation | $139 | 344% |
| Key Benefit Administrator | $139 | 344% |
| Liberty Union Life Assurance Co | $139 | 344% |
| Lifetime Benefit Solutions | $139 | 344% |
| Lucent Health | $139 | 344% |
| Luminare Health | $139 | 344% |
| Luminare Health (Detroit) | $139 | 344% |
| Magnacare | $139 | 344% |
| Manhattan Life | $139 | 344% |
| Medben | $139 | 344% |
| Medcost | $139 | 344% |
| Medi Share | $139 | 344% |
| Medical Mutual | $139 | 344% |
| Multiplan | $139 | 344% |
| Mutual Health Services | $139 | 344% |
| Mutual Of Omaha | $139 | 344% |
| Mvp | $139 | 344% |
| Ncas | $139 | 344% |
| Nippon Life Ins | $139 | 344% |
| Nova | $139 | 344% |
| Pai | $139 | 344% |
| Painters Union Insurance Fund | $139 | 344% |
| Pan-American Life | $139 | 344% |
| Paramount Hmo | $139 | 344% |
| Phcs | $139 | 344% |
| Physicians Mutual | $139 | 344% |
| Plumbers Local 98 Insurance Fund | $139 | 344% |
| Prairie States | $139 | 344% |
| Preferred One | $139 | 344% |
| Primary Physician Care | $139 | 344% |
| Professional Benefit Administrators | $139 | 344% |
| Siho Insurance Services | $139 | 344% |
| The Loomis Company | $139 | 344% |
| Trinity Health Share | $139 | 344% |
| Tufts Health Plan | $139 | 344% |
| Unicare | $139 | 344% |
| Us Health And Life | $139 | 344% |
| Valenz | $139 | 344% |
| Western & Southern Financial Group | $139 | 344% |
| Wps | $139 | 344% |
| Cigna | $140 | 346% |
| First Health | $143 | 354% |
| Prime Health Services | $145 | 359% |
| Correctional Healthcare Consultants | $162 | 401% |
| Three Rivers Provider Network | $163 | 403% |
| Bcccp-Michigan | $181 | 448% |
| Cmh Detroit Wayne Integrated Health Network | $181 | 448% |
| Cmh Lenawee County | $181 | 448% |
| Cmh Livingston County | $181 | 448% |
| Cmh Misc | $181 | 448% |
| Cmh Monroe County | $181 | 448% |
| Cmh Washtenaw County | $181 | 448% |
| Crime Victim Assistance | $181 | 448% |