CMS Price Transparency Data

Prosthetic fitting and training

Facility: Livingston Healthcare

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $74
Cash Discount Price: $77
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Livingston Healthcare is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.83x the Medicare baseline. Located in 320 Alpenglow Lane, Livingston, MT.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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: $77 (191%)

Insurance Median: $74 (183%)

Cash: $77 (191% of Medicare)

Ins. Median: $74 (183% 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
Blue Cross Blue Shield	$41 - $84	101%
UnitedHealthcare	$41 - $80	101%
Humana	$42 - $45	104%
Pacificsource Mcr	$47 - $50	116%
Pacificsource - All Other Plans	$73 - $78	181%
Allegiance - All Plans	$74 - $80	183%
First Choice/Hin - All Plans	$74 - $80	183%
Interwest Ppo - All Other Plans	$74 - $80	183%
Coventry - All Plans	$76 - $81	188%
Interwest Trad	$76 - $82	188%

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 $77.
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 Livingston Healthcare 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.