CMS Price Transparency Data

Prosthetic fitting and training

Facility: Mississippi Methodist Rehab Ctr

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $49
Cash Discount Price: $24
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Mississippi Methodist Rehab Ctr is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.21x the Medicare baseline. Located in 1350 E Woodrow Wilson Dr, Jackson, MS.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $24 (59%)

Insurance Median: $49 (121%)

Cash: $24 (59% of Medicare)

Ins. Median: $49 (121% 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
American Hlth Adv Mcr - All Plans	$37	92%
Humana	$37	92%
Molina Marketplace - All Other Plans	$37	92%
Molina Mcr Adv	$37	92%
Shared Health Dsnp - All Plans	$37	92%
UnitedHealthcare	$37 - $87	92%
Va Ccn - All Plans	$37	92%
Wellcare Mcr Adv - All Plans	$37	92%
Cigna	$38 - $185	94%
Blue Cross Blue Shield	$47 - $59	116%
Magnolia Mcaid - All Plans	$49 - $79	121%
Molina Mcaid/Chip	$49 - $79	121%
First Choice - All Plans	$55	136%
Mpcn - All Plans	$63	156%
Ambetter / Centene	$114	282%

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 $24.
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 Mississippi Methodist Rehab Ctr 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.