CMS Price Transparency Data

Prosthetic fitting and training

Facility: New London Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $70
Cash Discount Price: $72
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at New London Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.73x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $72 (178%)

Insurance Median: $70 (173%)

Cash: $72 (178% of Medicare)

Ins. Median: $70 (173% 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
Amerihealth Caritas Nh	$19 - $81	47%
Granite State Health Plan	$19 - $80	47%
Wellsense Health Plan	$19 - $70	47%
Aetna	$35 - $137	87%
Blue Cross Blue Shield	$36 - $125	89%
Martin'S Point Generations Advantage	$41 - $70	101%
Martin'S Point Health Care	$41 - $109	101%
UnitedHealthcare	$41 - $124	101%
Wellcare Health Plans	$42 - $70	104%
Harvard Pilgrim Health Care Of Ne	$48 - $113	119%
Ambetter / Centene	$54 - $70	134%
Cigna	$57 - $107	141%
Tufts Health Plan	$109 - $114	270%
Coventry	$149	369%
Multiplan	$150	371%

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 $72.
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 New London 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.