CMS Price Transparency Data

Prosthetic fitting and training

Facility: Baylor Scott and White Medical Center McKinney

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$115

about 2.9× the $40 Medicare rate · typically $46–$147

modeled estimate · not a bill or quote

Medicare pays $40 Fair price $115 Cash price $108 Hospital's list price $181

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$108 - $120	267%
Blue Cross Blue Shieldmajor	$121 - $257	299%
Aetnamajor	$99 - $108	245%
Cignamajor	$128 - $151	317%
Humanamajor	$126	312%
Ambetter (Centene)	$117	290%
Baylor Scott & White	$89 - $105	220%
Health Net	$99	245%
+ 4 smaller / regional plans	$99 - $135

Government programs also on file: Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 108), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97761.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott and White Medical Center McKinney is in-network.
Ask your insurer whether prior approval is required for CPT code 97761.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott and White Medical Center McKinney

Compare: Prosthetic fitting and training at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.