Physical therapy (gait training)
Facility: Northern Louisiana Medical Center
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $205
- Cash Discount Price: $125
- vs. Medicare Baseline: 7.05x 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 $29.06 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 705% of the Medicare baseline (a markup of 605%). 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 | $17 - $137 | 58% |
| Tricare | $22 - $27 | 76% |
| Champva | $22 | 76% |
| Champus | $22 | 76% |
| Humana | $27 - $36 | 93% |
| Veterans Evaluation Svcs | $27 | 93% |
| Mutual of Omaha | $27 | 93% |
| VA | $27 | 93% |
| Vantage Advantage | $27 | 93% |
| Medicare (plans) | $27 | 93% |
| Gulf South Services | $27 | 93% |
| Blue Cross Blue Shield | $27 - $59 | 93% |
| Aetna | $33 - $136 | 114% |
| Medicaid / KanCare | $33 - $228 | 114% |
| First Health | $43 - $193 | 148% |
| Vantage Health Plan Ppaca | $52 | 179% |
| Vantage Health Plan | $54 | 186% |
| Golden Rule Ins | $85 - $137 | 292% |
| Verity Healthnet | $111 | 382% |
| Cigna | $114 | 392% |
| Kaiser Permanente | $114 | 392% |
| Gilsbar | $125 | 430% |
| Self Pay | $125 | 430% |
| Geha | $182 - $216 | 626% |
| PHCS | $193 | 664% |
| Multiplan | $193 | 664% |
| Work Comp City of Ruston | $205 | 705% |
| Work Comp First Health | $205 | 705% |
| Work Comp Nlmc Emp | $205 | 705% |
| Workers Compensation | $205 | 705% |
| Benefit Trust Life | $228 | 785% |
| Fox Everett Inc | $228 | 785% |
| Aflc American Family Life | $228 | 785% |
| Us Dept of Labor | $228 | 785% |
| Crime Victims Compensatio | $228 | 785% |
| The Hartford | $228 | 785% |
| Aarp | $228 | 785% |
| Hospice of Caring Hearts | $228 | 785% |
| Misc Commercial | $228 | 785% |
| Liberty Healthshare | $228 | 785% |
| Ruston Regional Specialty | $228 | 785% |
| American Life Accident | $228 | 785% |
| Newera | $228 | 785% |
| Nlmc Community Services | $228 | 785% |
| Gmp Employers Retiree Tru | $228 | 785% |
| Premier Hospice | $228 | 785% |
| Mva Insurance Payors | $228 | 785% |
| Principal Mutual Life Ins | $228 | 785% |
| Protective Life Ins | $228 | 785% |
| Bankers Life and Casualty | $228 | 785% |
| Ltu Athletics | $228 | 785% |
| Lin Parish Detention | $228 | 785% |
| Guarantee Trust Life Ins | $228 | 785% |
| McR American Hlth Adv | $228 | 785% |
| Equitable | $228 | 785% |
| Sterling Investors Life | $228 | 785% |
| Nalc Natl Assoc Ltr Carri | $228 | 785% |
| Union Bankers Insurance C | $228 | 785% |
| Lifecare Specialty Hosp | $228 | 785% |
| Ltu Student Ins Bollinger | $228 | 785% |
| United Teachers Ins | $228 | 785% |
| Washington National Ins | $228 | 785% |
| State Mutual Ins | $228 | 785% |
| United American | $228 | 785% |
| Nalc Health Benefit Plan | $228 | 785% |
| Industrial Accounts | $228 | 785% |
| Gsu Athletics | $228 | 785% |
| Union Fidelity Life Ins | $228 | 785% |
| State Farm Insurance | $228 | 785% |
| Liberty Mutual Group | $228 | 785% |
| Physicians Mutual Ins | $228 | 785% |
| Healthfirst Tpa | $228 | 785% |
| Specialty Hosp of Winnfie | $228 | 785% |
| Apwu Health Plan | $228 | 785% |
| Ima Insurance | $228 | 785% |
| Lincoln Kidney Center | $228 | 785% |