CMS Price Transparency Data

Prosthetic fitting and training

Facility: Jefferson Healthcare

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $51
Cash Discount Price: $100
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Jefferson Healthcare is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.26x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $100 (247%)

Insurance Median: $51 (126%)

Cash: $100 (247% of Medicare)

Ins. Median: $51 (126% 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
Chpw Mcaid	$39	97%
Molina Mcaid	$40	99%
Amerigroup Mcaid-All Plans	$41	101%
Coord Care Mcaid Ip/Op Only	$42	104%
Aetna	$44 - $112	109%
Molina Mcr Adv	$44	109%
Tricare	$44	109%
Medicare (plans)	$45	111%
Chpw Mcr Adv	$47	116%
Molina Marketplace-All Other Plans	$55	136%
UnitedHealthcare	$70	173%
Regence-All Other Plans	$94	233%
Chpw Commercial-All Other Plans	$106	262%
Premera-All Plans	$106	262%
Cigna	$112	277%
Coord Care Cascade Ip/Op Only	$112	277%
Coord Care Comm/Exchge-All Other Plans	$112	277%

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 $100.
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 Jefferson Healthcare 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.