Price Checker / CPT 97761
CPT 97761 — Prosthetic traing 1st enc
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$40
What Medicare pays in a hospital/ASC setting
$40
What Medicare pays in a physician's office
$459
Based on 30 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 97761
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Rehabilitation Hospital of Rhode Island , RI | $5,381 | $5,381 | 13211% |
| Stonewall Jackson Hospital , WV | — | — | 6122% |
| HealthSource Saginaw , MI | — | — | 4353% |
| HealthSource Saginaw , MI | — | — | 4353% |
| Covenant Rehabilitation Hospital of Lubbock, LLC Lubbock, TX | $65 | — | 661% |
| Summa Rehab Hospital, LLC Akron, OH | $105 | — | 506% |
| Leahi Hospital , HI | $209 | $136 | 417% |
| Penn Medicine Good Shepherd Rehabilitation Specialty Hospital , PA | $165 | $150 | 308% |
| Elkhorn Valley Rehabilitation Hospital, LLC , WY | $65 | — | 271% |
| Good Shepherd Rehabilitation Hospital , PA | $144 | $33 | 256% |
| Lafayette Regional Rehabilitation Hospital LLC Lafayette, IN | $65 | — | 246% |
| Corpus Christi Rehabilitation Hospital, LLC Corpus Christi, TX | $65 | — | 197% |
| Laredo Rehabilitation Hospital, LLC Laredo, TX | $65 | — | 197% |
| New Braunfels Regional Rehabilitation Hospital, Inc. New Braunfels, TX | $65 | — | 197% |
| Rehabilitation Hospital of Mesquite, LLC Mesquite, TX | $65 | — | 197% |
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About CPT 97761
CPT code 97761 refers to “Prosthetic traing 1st enc”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $40 in a facility (hospital or ambulatory surgery center) and $40in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.