CMS Price Transparency Data

Prosthetic fitting and training

Facility: Centerpoint Medical Center

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $123
Cash Discount Price: $554
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Centerpoint Medical Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 3.04x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$554

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $554 (1371%)

Insurance Median: $123 (304%)

Cash: $554 (1371% of Medicare)

Ins. Median: $123 (304% 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 304% of the Medicare baseline (a markup of 204%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$20 - $251	49%
Amerigroup	$21	52%
Healthyblue	$21	52%
Home State Health Plan	$21	52%
Medicaid / KanCare	$21	52%
Unicare	$21	52%
Blue Cross Blue Shield	$39 - $257	97%
Coventry	$39 - $225	97%
Devoted Health	$39	97%
Humana	$39 - $86	97%
Celtic	$40	99%
Cigna	$40 - $447	99%
Wellcare	$40	99%
Pyramid Life	$42	104%
Multiplan	$44 - $414	109%
Corvel Corporation	$52 - $363	129%
Oha Network	$54 - $279	134%
Ambetter / Centene	$57 - $104	141%
Nhc Advantage	$58 - $106	144%
Oscar	$58 - $106	144%
Wppa Providrs Care Network	$61 - $112	151%
Aetna	$67 - $285	166%
Universal Healthcare	$107 - $196	265%
Coventry Kc Mo	$125 - $229	309%
College Park Family Care Center	$131 - $240	324%
Global Sports Services	$244 - $443	604%
Cco, Inc.	$259 - $475	641%
Focus Healthcare Mgmt, Inc	$274 - $503	678%

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 $554.
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 Centerpoint 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.