CMS Price Transparency Data

Prosthetic fitting and training

Facility: Medical City Las Colinas

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $42
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Medical City Las Colinas is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.04x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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%)

Insurance Median: $42 (104%)

Ins. Median: $42 (104% 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
Amerigroup	$40	99%
Devoted Health	$40	99%
Humana	$40 - $285	99%
Mutual Of Omaha	$40	99%
Triwest Veterans	$40	99%
Wellmed	$40	99%
Aetna	$41	101%
Blue Cross Blue Shield	$41 - $224	101%
Care N Care	$41	101%
Cigna	$41	101%
Triwest Health Alliance	$41	101%
United	$41	101%
American Health Plan Of Texas, Inc.	$42	104%
Integranet	$42	104%
Procare Advantge	$42	104%
Superior Health Plan	$42	104%
Wellcare	$42	104%
Provider Partners Health Plan	$43	106%
Texas Independent Health Plan	$43	106%
Imperial Insurance Company	$44	109%
Molina	$44	109%
Universal Healthcare Group	$48	119%
Verda Health Plan	$53	131%
Bravo Health	$61	151%
Superior	$72 - $91	178%
Usa Managed Care	$77	191%
Corvel Corporation	$80	198%
Molina Healthcare	$106	262%

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 $X.
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 Medical City Las Colinas 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.