CMS Price Transparency Data

Prosthetic fitting and training

Facility: Ochsner Laird Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $111
Cash Discount Price: $106
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Ochsner Laird Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 2.75x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $106 (262%)

Insurance Median: $111 (275%)

Cash: $106 (262% of Medicare)

Ins. Median: $111 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Blue Cross Blue Shield	$33 - $122	82%
Medicaid / KanCare	$34 - $35	84%
Prime Health Services Ppo -Workers Comp	$60	148%
Cor Vel	$61	151%
Cigna	$75 - $110	186%
Humana	$89 - $110	220%
Medicare (plans)	$110 - $126	272%
UnitedHealthcare	$110	272%
Ambetter / Centene	$111	275%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$111	275%
Aetna	$113	280%
Shared Health Mississippi	$115	285%
Select Administrative Services Network	$122	302%
Claritev D/B/A Multiplan/Phcs/American Life Care	$130	322%
Zelis	$130	322%
Prime Health Services Ppo	$139	344%
Primewell Health Services - Commercial	$146	361%
Primewell Health Services Commercial Exchange Plan	$146	361%

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 $106.
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 Ochsner Laird Hospital 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.