CMS Price Transparency Data

Prosthetic fitting and training

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $97
Cash Discount Price: $53
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Mary Hitchcock Memorial Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 2.40x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $53 (131%)

Insurance Median: $97 (240%)

Cash: $53 (131% of Medicare)

Ins. Median: $97 (240% 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 240% of the Medicare baseline (a markup of 140%). 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
Amerihealth Caritas Nh	$17 - $20	42%
Beacon Health Strategies/Carelon	$17 - $21	42%
Granite State Health Plan	$17 - $22	42%
Wellsense Health Plan	$17 - $43	42%
Harvard Pilgrim Health Care Of Ne	$30 - $165	74%
UnitedHealthcare	$36 - $144	89%
Blue Cross Blue Shield	$41 - $152	101%
Martin'S Point Generations Advantage	$41	101%
Mvp	$41 - $117	101%
Aetna	$42 - $122	104%
Cigna	$42 - $160	104%
Martin'S Point Health Care	$42 - $60	104%
Ambetter / Centene	$43 - $135	106%
Wellcare Health Plans	$43	106%
Tufts Health Plan	$98 - $173	243%
Mass General Brigham Health Plan	$100 - $116	247%
Maine Community Health Options	$111 - $128	275%
Coventry	$151	374%
First Health/Hcvm	$151	374%
Phcs	$157	389%
Corvel	$160	396%
Ccmsi	$165	408%

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 $53.
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 Mary Hitchcock Memorial 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.