CMS Price Transparency Data
Prosthetic fitting and training
Facility: Bmh-Calhoun
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $66
- Cash Discount Price: $44
- vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Bmh-Calhoun is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.63x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$66
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: $44 (109%)
Insurance Median: $66 (163%)
Cash: $44 (109% of Medicare)
Ins. Median: $66 (163% 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.
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 |
|---|---|---|
| Ppo Holdings | $32 | 79% |
| Magnolia Regional Health Center | $34 | 84% |
| Blue Cross Blue Shield | $35 - $38 | 87% |
| Tricare | $35 | 87% |
| Devoted Health | $37 | 92% |
| Molina | $37 - $68 | 92% |
| Ms Breast And Cervical | $37 | 92% |
| Triwest | $37 | 92% |
| Vaccn | $37 | 92% |
| Aetna | $38 - $55 | 94% |
| American Health Plan | $38 | 94% |
| Humana | $38 - $68 | 94% |
| Primewell | $38 | 94% |
| Shared Health | $38 | 94% |
| Littler | $42 | 104% |
| Magnolia Ms | $42 | 104% |
| Cigna | $47 | 116% |
| First Choice Health Plan Of Ms | $55 | 136% |
| Burch Food Services | $62 | 153% |
| First State Bank Trust | $62 | 153% |
| Arlington Community Schools | $66 | 163% |
| Armstrong Relocation | $66 | 163% |
| Ashley Furniture Stores | $66 | 163% |
| Bartlett City Schools | $66 | 163% |
| Brimhall Foods | $66 | 163% |
| Building Plastic | $66 | 163% |
| Cannon Motor Company | $66 | 163% |
| Carlisle | $66 | 163% |
| City Of Bartlett | $66 | 163% |
| City Of Lakeland | $66 | 163% |
| Collierville Schools | $66 | 163% |
| Crittenden County | $66 | 163% |
| Davidson Hospitality | $66 | 163% |
| Delta Industries | $66 | 163% |
| Desoto Co Board Of Supervisors | $66 | 163% |
| Dunn Investment Company | $66 | 163% |
| Eas Mssc Schools | $66 | 163% |
| First Community Bank | $66 | 163% |
| French Camp Academy | $66 | 163% |
| Gossett Motor Cars | $66 | 163% |
| Hattiesburg Clinic | $66 | 163% |
| Heartland Catfish Company | $66 | 163% |
| Heavy Machines | $66 | 163% |
| Hollowell Industries | $66 | 163% |
| Hospitality Management Advisors | $66 | 163% |
| Jas D Collier | $66 | 163% |
| Lakeland School System | $66 | 163% |
| Malco Theaters | $66 | 163% |
| Mechanical Systems | $66 | 163% |
| Mid-South Transport | $66 | 163% |
| Minact | $66 | 163% |
| Patterson Warehouses | $66 | 163% |
| Radians | $66 | 163% |
| Rei Nation | $66 | 163% |
| Retzer Resources | $66 | 163% |
| Ritchey Automotive | $66 | 163% |
| Security One | $66 | 163% |
| Silver Tree | $66 | 163% |
| State Systems | $66 | 163% |
| Town Of Collierville | $66 | 163% |
| United Tn Holdings | $66 | 163% |
| Vaughn Electric | $66 | 163% |
| W G Yates | $66 | 163% |
| W W Wood Products | $66 | 163% |
| Watkins Uiberall | $66 | 163% |
| Y K Auto Group | $66 | 163% |
| Advanced Health Systems Inc. | $68 | 168% |
| Christian Health Aid | $68 | 168% |
| Ppo Plus | $72 | 178% |
| Employers Health Network | $73 | 181% |
| Harding Academy | $73 | 181% |
| Multiplan | $76 | 188% |
| Qca | $76 | 188% |