CMS Price Transparency Data

Prosthetic fitting and training

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $60
Cash Discount Price: $106
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at PAM Rehabilitation Hospital of Corpus Christi is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.48x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $106 (262%)

Insurance Median: $60 (148%)

Cash: $106 (262% of Medicare)

Ins. Median: $60 (148% 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
Aetna	$30 - $40	74%
Curative	$30	74%
Ambetter / Centene	$40	99%
Blue Cross Blue Shield	$40 - $43	99%
Christus Health Plan	$40	99%
Christus Spohn Health Network	$40 - $64	99%
Cigna	$40 - $115	99%
Ilumed Aco Reach	$40	99%
Imperial Insurance Of Texas	$40	99%
UnitedHealthcare	$40 - $90	99%
Wellcare Complete	$40	99%
Wellmed	$40	99%
Wellpoint (Amerigroup)	$40	99%
Texas Independence Health Plan	$42	104%
Velocity Provider Ppo Network	$48 - $80	119%
Prime Health Services	$52 - $90	129%
Healthcare Highways	$58	144%
Ninety Degree Benefits	$60	148%
Sana Benefits	$60	148%
America'S Choice Provider Network	$74	183%
Provider Network Of America	$80	198%
Quik Trip	$80	198%
Usa Managed Care Organization	$80	198%
Multiplan/Phcs	$85	210%

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 $106.
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 PAM Rehabilitation Hospital of Corpus Christi 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.