Physical therapy (functional capacity test)
Facility: Northern Louisiana Medical Center
Billing Code: 97750 (CPT)
- CPT Billing Code: 97750
- Insurance Median: $260
- Cash Discount Price: $147
- vs. Medicare Baseline: 7.71x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $33.73 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 771% of the Medicare baseline (a markup of 671%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $19 - $164 | 56% |
| Aetna | $37 - $164 | 110% |
| Blue Cross Blue Shield | $37 - $68 | 110% |
| Medicaid / KanCare | $37 - $273 | 110% |
| Humana | $41 - $43 | 122% |
| First Health | $49 - $232 | 145% |
| Golden Rule Ins | $97 - $164 | 288% |
| Verity Healthnet | $127 - $134 | 377% |
| Cigna | $130 - $136 | 385% |
| Kaiser Permanente | $130 - $136 | 385% |
| Gilsbar | $143 - $150 | 424% |
| Self Pay | $143 - $150 | 424% |
| Geha | $208 - $259 | 617% |
| PHCS | $221 - $232 | 655% |
| Multiplan | $221 - $232 | 655% |
| Work Comp City of Ruston | $234 - $246 | 694% |
| Work Comp Nlmc Emp | $234 - $246 | 694% |
| Workers Compensation | $234 - $246 | 694% |
| Work Comp First Health | $234 - $246 | 694% |
| Lin Parish Detention | $260 - $273 | 771% |
| Liberty Healthshare | $260 - $273 | 771% |
| State Mutual Ins | $260 - $273 | 771% |
| Ltu Student Ins Bollinger | $260 - $273 | 771% |
| Union Bankers Insurance C | $260 - $273 | 771% |
| United Teachers Ins | $260 - $273 | 771% |
| Gmp Employers Retiree Tru | $260 - $273 | 771% |
| Newera | $260 - $273 | 771% |
| Union Fidelity Life Ins | $260 - $273 | 771% |
| Crime Victims Compensatio | $260 - $273 | 771% |
| Ltu Athletics | $260 - $273 | 771% |
| Principal Mutual Life Ins | $260 - $273 | 771% |
| State Farm Insurance | $260 - $273 | 771% |
| Aarp | $260 - $273 | 771% |
| Protective Life Ins | $260 - $273 | 771% |
| Bankers Life and Casualty | $260 - $273 | 771% |
| Nalc Natl Assoc Ltr Carri | $260 - $273 | 771% |
| Sterling Investors Life | $260 - $273 | 771% |
| Guarantee Trust Life Ins | $260 - $273 | 771% |
| Fox Everett Inc | $260 - $273 | 771% |
| Liberty Mutual Group | $260 - $273 | 771% |
| Nlmc Community Services | $260 - $273 | 771% |
| McR American Hlth Adv | $260 - $273 | 771% |
| Lincoln Kidney Center | $260 - $273 | 771% |
| Industrial Accounts | $260 - $273 | 771% |
| Lifecare Specialty Hosp | $260 - $273 | 771% |
| The Hartford | $260 - $273 | 771% |
| Healthfirst Tpa | $260 - $273 | 771% |
| Aflc American Family Life | $260 - $273 | 771% |
| Gsu Athletics | $260 - $273 | 771% |
| Apwu Health Plan | $260 - $273 | 771% |
| Us Dept of Labor | $260 - $273 | 771% |
| Benefit Trust Life | $260 - $273 | 771% |
| Misc Commercial | $260 - $273 | 771% |
| Equitable | $260 - $273 | 771% |
| Ima Insurance | $260 - $273 | 771% |
| Premier Hospice | $260 - $273 | 771% |
| Washington National Ins | $260 - $273 | 771% |
| Mva Insurance Payors | $260 - $273 | 771% |
| Hospice of Caring Hearts | $260 - $273 | 771% |
| United American | $260 - $273 | 771% |
| American Life Accident | $260 - $273 | 771% |
| Physicians Mutual Ins | $260 - $273 | 771% |
| Nalc Health Benefit Plan | $260 - $273 | 771% |
| Ruston Regional Specialty | $260 - $273 | 771% |
| Specialty Hosp of Winnfie | $260 - $273 | 771% |