CMS Price Transparency Data
Prosthetic fitting and training
Facility: University Medical Center
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $52
- Cash Discount Price: $93
- vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at University Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.29x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$93
Average discount available for prompt cash payment at this facility.
Insurance Median
$52
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: $93 (230%)
Insurance Median: $52 (129%)
Cash: $93 (230% of Medicare)
Ins. Median: $52 (129% 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 |
|---|---|---|
| Aig | $28 - $163 | 69% |
| American Postal Workers Health Plan | $28 - $323 | 69% |
| Beech Street | $28 - $163 | 69% |
| Cement Masons & Plasters H&W | $28 - $147 | 69% |
| Las Vegas Firefighters 1285 | $28 - $147 | 69% |
| Surest | $28 - $323 | 69% |
| Switch | $28 - $147 | 69% |
| UnitedHealthcare | $28 - $323 | 69% |
| Ambetter / Centene | $30 - $252 | 74% |
| Blue Cross Blue Shield | $30 - $114 | 74% |
| Molina | $30 - $252 | 74% |
| Sierra Health And Life | $30 - $275 | 74% |
| Cigna | $34 - $114 | 84% |
| Cirque De Soleil | $34 - $114 | 84% |
| City Of North Las Vegas | $34 - $147 | 84% |
| Great West Healthcare | $34 - $114 | 84% |
| Kaiser | $34 - $114 | 84% |
| National Security Technologies | $34 - $114 | 84% |
| Advantra Freedom | $40 - $114 | 99% |
| Aetna | $40 - $206 | 99% |
| Allwell | $40 | 99% |
| Arroweye Solutions | $40 - $153 | 99% |
| Caesar'S Entertainment | $40 - $147 | 99% |
| City Of Henderson | $40 - $147 | 99% |
| Clark County Epo | $40 - $147 | 99% |
| Clark County Self Funded | $40 - $147 | 99% |
| Dignity Health | $40 - $153 | 99% |
| Golden Entertainment | $40 - $153 | 99% |
| Golden Nugget Hotel & Casino | $40 - $153 | 99% |
| Healthcare Partners Of Nevada | $40 | 99% |
| Las Vegas Metro Police Dept | $40 - $147 | 99% |
| Las Vegas Sand Corps | $40 - $323 | 99% |
| Marshall Retail Group | $40 - $153 | 99% |
| Mgm Grand | $40 - $147 | 99% |
| Mirage Las Vegas | $40 - $147 | 99% |
| Operating Engineers | $40 - $147 | 99% |
| P3 Health Partners | $40 - $153 | 99% |
| P3 Health Partners Nevada | $40 | 99% |
| Pli Las Vegas | $40 - $153 | 99% |
| Rebel Oil Company | $40 - $153 | 99% |
| Resorts World Las Vegas | $40 - $147 | 99% |
| Selecthealth | $40 - $252 | 99% |
| State Of Nevada | $40 - $153 | 99% |
| Stations Casinos | $40 - $153 | 99% |
| Teacher'S Health Trust | $40 - $153 | 99% |
| Truline Corporation | $40 - $153 | 99% |
| Va Pc3 (Va Choice) | $40 - $412 | 99% |
| Venetian/Palazzo | $40 - $153 | 99% |
| Wynn Resorts | $40 - $147 | 99% |
| Alignment Health | $42 - $137 | 104% |
| Scan | $42 - $137 | 104% |
| Clark County Firefighters 1908 | $45 - $147 | 111% |
| Coventry | $45 - $160 | 111% |
| Employee Painters Trust | $45 - $147 | 111% |
| First Health | $45 - $224 | 111% |
| Geha | $45 - $61 | 111% |
| Health Net | $45 - $389 | 111% |
| Mail Handlers Benefit Plan | $45 - $160 | 111% |
| Nevada Energy | $45 - $160 | 111% |
| Three Rivers Provider Network | $45 - $224 | 111% |
| Boyd Group | $47 - $147 | 116% |
| Bricklayers Local 13 | $47 - $147 | 116% |
| California Ironwork Field Welfare | $47 - $114 | 116% |
| Electrical Workers | $47 - $147 | 116% |
| Laborers Health And Welfare | $47 - $147 | 116% |
| Plumbers & Pipefitters Loc 525 | $47 - $147 | 116% |
| Sheet Metal Workers | $47 - $114 | 116% |
| So Ca Pipe Trades H&W | $47 - $114 | 116% |
| Southwest Carpenters H&W | $47 - $114 | 116% |
| Teamsters Local 14 | $47 - $147 | 116% |
| Teamsters Local 631 | $47 - $147 | 116% |
| Teamsters Local 986 | $47 - $147 | 116% |
| Ufcw Local 711 Retail Clerks | $47 - $147 | 116% |
| Culinary Workers Hwf | $50 - $147 | 124% |
| Laughlin Coalition | $55 - $179 | 136% |
| Hometown Health Plan Nevada | $61 | 151% |
| Jw Marriott | $61 - $275 | 151% |
| Nevada Preferred Professionals | $61 - $275 | 151% |
| One Health Plan | $61 - $243 | 151% |
| Prominence Health Plan | $61 - $275 | 151% |
| Universal Health Network (Uhn) | $61 - $275 | 151% |
| Health Direct Partners | $67 - $252 | 166% |
| Zuffa | $85 - $275 | 210% |
| Clark County Detention Center | $137 | 339% |
| Nevada Hand | $147 | 364% |
| Hometown Health Plan Of Nevada | $243 | 601% |