CMS Price Transparency Data

Prosthetic fitting and training

Facility: Ochsner Scott Regional

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $88
Cash Discount Price: $110
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Ochsner Scott Regional is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 2.18x the Medicare baseline. Located in 317 Highway 13 South, Morton, MS.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $110 (272%)

Insurance Median: $88 (218%)

Cash: $110 (272% of Medicare)

Ins. Median: $88 (218% 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 218% of the Medicare baseline (a markup of 118%). 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 - $35	82%
Medicaid / KanCare	$34 - $35	84%
Prime Health Services Ppo -Workers Comp	$60	148%
Cor Vel	$61	151%
Humana	$64 - $87	158%
Cigna	$75 - $87	186%
Medicare (plans)	$87 - $100	215%
UnitedHealthcare	$87 - $110	215%
Ambetter / Centene	$88	218%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$88	218%
Shared Health Mississippi	$91	225%
Primewell Health Services Commercial Exchange Plan	$104	257%
Primewell Health Services – Commercial	$104	257%
Aetna	$113	280%
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%

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 $110.
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 Scott Regional 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.