CMS Price Transparency Data

Prosthetic fitting and training

Facility: Parkland Medical Center

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $89
Cash Discount Price: $285
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Parkland Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 2.20x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $285 (705%)

Insurance Median: $89 (220%)

Cash: $285 (705% of Medicare)

Ins. Median: $89 (220% 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 220% of the Medicare baseline (a markup of 120%). 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	$9	22%
Well Sense Health Plan	$21	52%
John Hancock	$33	82%
Humana	$40 - $41	99%
Martin'S Point Health	$40 - $43	99%
United Behavioral Health	$41	101%
United Va Ccn	$41	101%
Blue Cross Blue Shield	$42 - $124	104%
Cigna	$42	104%
Evernorth Behavioral Health	$42	104%
United	$42 - $173	104%
Ambetter / Centene	$74	183%
Maine Community Health	$89 - $151	220%
Tufts Health Plan	$163 - $168	403%
Aetna	$169 - $190	418%
Corvel	$205	507%
Evernorth	$228	564%
Healthcare Value Mgmt	$239	591%
First Health	$242	599%
Oxford Health Plans	$271	671%

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 $285.
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 Parkland Medical Center 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.