CMS Price Transparency Data

Orthotic fitting and training

Facility: Angel Medical Center

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $53
Cash Discount Price: $142
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Angel Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.15x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $142 (308%)

Insurance Median: $53 (115%)

Cash: $142 (308% of Medicare)

Ins. Median: $53 (115% 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	$19 - $31	41%
United	$20 - $78	43%
Wellcare	$20 - $32	43%
Amerihealth	$21 - $32	46%
Partners Health Management	$21 - $33	46%
Vaya Health	$21 - $33	46%
Apex Health	$22 - $35	48%
Aetna	$24 - $112	52%
Amerigroup	$27	59%
Cigna	$39 - $99	85%
Amerihealth Caritas	$43 - $68	93%
One Call Medical	$46 - $53	100%
Caresource	$49 - $76	106%
Medcost	$49 - $92	106%
Magellan	$67 - $104	145%
Magellan Behavioral Health	$67 - $104	145%
Multiplan	$89 - $139	193%
Avalon Administrative Services	$94 - $148	204%
Prime Health	$98 - $156	213%

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 $142.
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 Angel 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.