CMS Price Transparency Data

Orthotic fitting and training

Facility: Novant Health Mint Hill Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $82
Cash Discount Price: $67
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Novant Health Mint Hill Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.78x the Medicare baseline. Located in 8201 Healthcare Loop, Charlotte, NC.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$46.09

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $46.09 (100%)

Cash / Self-Pay: $67 (145%)

Insurance Median: $82 (178%)

Cash: $67 (145% of Medicare)

Ins. Median: $82 (178% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $46.09 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
Blue Cross Blue Shield	$43 - $96	93%
Caresource North Carolina	$44	95%
Carolina Complete	$51	111%
Nc Department Of Public Safety	$51	111%
Amerihealth	$52	113%
UnitedHealthcare	$52 - $78	113%
Wellcare	$52	113%
Atlantic Corporation Dba Atlantic Packaging	$61	132%
Aetna	$66 - $106	143%
Cigna	$68	148%
Amps	$73	158%
Plotkin Health	$80	174%
Medcost	$94 - $100	204%
Humana	$96	208%
Primary Physician Care	$98	213%
Multiplan	$100	217%
Phcs	$100	217%
Employers Choice Network	$129	280%
Three Rivers Provider Network	$129	280%

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 $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97760.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Mint Hill Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97760.
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.