CMS Price Transparency Data
Prosthetic fitting and training
Facility: Mercy Hospital Logan County
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $74
- Cash Discount Price: $81
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Mercy Hospital Logan County is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.83x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$81
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: $81 (200%)
Insurance Median: $74 (183%)
Cash: $81 (200% 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.
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 |
|---|---|---|
| Tricare | $31 | 77% |
| Aetna | $32 - $73 | 79% |
| Blue Cross Blue Shield | $32 - $60 | 79% |
| Cherokee Nation Health Serv Contracted [320066] | $32 | 79% |
| Cross Timbers Hospice [20098] | $32 | 79% |
| Dept Of Veteran Affairs Contracted [320106] | $32 | 79% |
| Elara Caring Aspire Hospice Contracted [320433] | $32 | 79% |
| Elara Caring Aspire Hospice [20433] | $32 | 79% |
| Globalhealth Contracted [320145] | $32 | 79% |
| Halo Hcr Inc Hospice Contracted [320432] | $32 | 79% |
| Halo Hcr Inc Hospice [20432] | $32 | 79% |
| Humana | $32 - $99 | 79% |
| Independent Health [20197] | $32 | 79% |
| Indian Health Service Contracted [320198] | $32 | 79% |
| Kindful Hospice Contracted [320434] | $32 | 79% |
| Kindful Hospice [20434] | $32 | 79% |
| Medical Associates Health [20444] | $32 | 79% |
| Medicare (plans) | $32 - $62 | 79% |
| Mercy Hospice Okc [20252] | $32 | 79% |
| Provider Partners Health Plans Contracted [320450] | $32 | 79% |
| Qual Choice Contracted [320325] | $32 | 79% |
| Tribute Health Plan Mcr Contracted [320338] | $32 | 79% |
| UnitedHealthcare | $32 - $87 | 79% |
| Cigna | $33 - $105 | 82% |
| Medicaid / KanCare | $36 - $37 | 89% |
| Ambetter / Centene | $37 | 92% |
| Home State Health Plan Contracted [320187] | $37 | 92% |
| Novasys Contracted [320285] | $37 | 92% |
| Webtpa Contracted [320417] | $52 | 129% |
| Medica Contracted [320239] | $62 | 153% |
| Health Choice Contracted [320166] | $63 | 156% |
| Aither Health Contracted [320449] | $74 - $105 | 183% |
| Auxiant Contracted [320462] | $74 - $105 | 183% |
| Federal Medical Center Contracted [320127] | $74 | 183% |
| Healthlink Contracted [320179] | $74 - $105 | 183% |
| Healthscope Contracted [320182] | $74 | 183% |
| Mercy Benefit Admin Contracted [320251] | $74 - $105 | 183% |
| Point C Contracted [320238] | $74 | 183% |
| Preferred Health Plan Contracted [320522] | $74 | 183% |
| Quik Trip Contracted [320447] | $74 | 183% |
| Show-Me Health Administrators Contracted [320483] | $74 | 183% |
| United Medical Resources Contracted [320454] | $74 - $87 | 183% |
| Community Care Contracted [320080] | $87 | 215% |
| Osma Health Contracted [320292] | $87 | 215% |
| United Behavioral Health Contracted [320390] | $87 | 215% |
| Benefit Management Contracted [320052] | $93 - $112 | 230% |
| Globalhealth Contracted [320144] | $93 | 230% |
| Healthcare Highways Plus Contracted [320175] | $93 | 230% |
| Private Health Care Systems Contracted [320320] | $93 - $99 | 230% |
| First Health Contracted [320128] | $97 | 240% |
| Multiplan Contracted [320270] | $99 - $112 | 245% |
| Ebms Contracted [320493] | $105 | 260% |
| Imagine 360 Contracted [320494] | $105 | 260% |
| Preferred Community Choice Contracted [320311] | $105 | 260% |
| Reflect Health Contracted [320492] | $105 | 260% |
| Yuzu Health Contracted [320521] | $105 | 260% |