CMS Price Transparency Data

Prosthetic fitting and training

Facility: Parkland Health & Hospital System

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $134
Cash Discount Price: $94
vs. Medicare Baseline: 3.32x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Parkland Health & Hospital System is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 3.32x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $94 (233%)

Insurance Median: $134 (332%)

Cash: $94 (233% of Medicare)

Ins. Median: $134 (332% 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 332% of the Medicare baseline (a markup of 232%). 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
Blue Cross Blue Shield	$26 - $170	64%
Wellpoint [1007]	$36 - $173	89%
Aetna	$37 - $182	92%
Cook Children Health Plan [1380]	$37	92%
Parkland Community Health Plan [1056]	$37 - $182	92%
Superior Health Plan [1402]	$37	92%
Molina [1382]	$39 - $191	97%
Point Comfort Underwriters [1801]	$39	97%
Care Improvement Plus [1104]	$49	121%
Procare Advantage [2104]	$50	124%
Cigna	$111 - $142	275%
Superior Healthplan [1383]	$139	344%
Great West Healthcare [1037]	$142	351%
UnitedHealthcare	$157	389%

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 $94.
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 Health & Hospital System 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.