CMS Price Transparency Data

Orthotic fitting and training

Facility: Vidant Roanoke Chowan Hospital

Billing Code: 97760 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97760
Insurance Median: $59
Cash Discount Price: $53
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Orthotic fitting and training at Vidant Roanoke Chowan Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.28x the Medicare baseline. Located in 500 S Academy St, Ahoskie, NC.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $53 (115%)

Insurance Median: $59 (128%)

Cash: $53 (115% of Medicare)

Ins. Median: $59 (128% 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	$23 - $52	50%
Wellcare [1320]	$24	52%
Amerihealth McAid Adv [1316]	$24	52%
Carolina Complete Health [1317]	$24	52%
Nc Dept of Public Safety [1095]	$35	76%
Humana	$44	95%
UnitedHealthcare	$45 - $52	98%
Aetna	$46 - $78	100%
Liberty Advantage [1313]	$46	100%
Longevity Health [1411]	$57	124%
Medcost [1067]	$59 - $62	128%
Cigna	$81 - $91	176%
Multiplan [1031]	$90	195%

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 $53.
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 Vidant Roanoke Chowan Hospital 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.