Physical therapy (manual therapy)
Facility: Northern Louisiana Medical Center
Billing Code: 97140 (CPT)
- CPT Billing Code: 97140
- Insurance Median: $218
- Cash Discount Price: $133
- vs. Medicare Baseline: 7.86x 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 $27.72 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 786% of the Medicare baseline (a markup of 686%). 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 | $18 - $146 | 65% |
| Tricare | $20 - $25 | 72% |
| Champus | $20 | 72% |
| Champva | $20 | 72% |
| Blue Cross Blue Shield | $25 - $55 | 90% |
| Gulf South Services | $25 | 90% |
| Medicare (plans) | $25 | 90% |
| Veterans Evaluation Svcs | $25 | 90% |
| Vantage Advantage | $25 | 90% |
| VA | $25 | 90% |
| Humana | $25 - $38 | 90% |
| Mutual of Omaha | $25 | 90% |
| Aetna | $33 - $146 | 119% |
| Medicaid / KanCare | $35 - $242 | 126% |
| First Health | $40 - $206 | 144% |
| Vantage Health Plan Ppaca | $48 | 173% |
| Vantage Health Plan | $50 | 180% |
| Golden Rule Ins | $91 - $146 | 328% |
| Verity Healthnet | $119 | 429% |
| Kaiser Permanente | $121 | 437% |
| Cigna | $121 | 437% |
| Self Pay | $133 | 480% |
| Gilsbar | $133 | 480% |
| Geha | $194 - $230 | 700% |
| PHCS | $206 | 743% |
| Multiplan | $206 | 743% |
| Work Comp Nlmc Emp | $218 | 786% |
| Work Comp City of Ruston | $218 | 786% |
| Workers Compensation | $218 | 786% |
| Work Comp First Health | $218 | 786% |
| Fox Everett Inc | $242 | 873% |
| American Life Accident | $242 | 873% |
| McR American Hlth Adv | $242 | 873% |
| Washington National Ins | $242 | 873% |
| Bankers Life and Casualty | $242 | 873% |
| Ltu Student Ins Bollinger | $242 | 873% |
| Hospice of Caring Hearts | $242 | 873% |
| Liberty Healthshare | $242 | 873% |
| Lifecare Specialty Hosp | $242 | 873% |
| Specialty Hosp of Winnfie | $242 | 873% |
| Us Dept of Labor | $242 | 873% |
| Protective Life Ins | $242 | 873% |
| United Teachers Ins | $242 | 873% |
| Mva Insurance Payors | $242 | 873% |
| Benefit Trust Life | $242 | 873% |
| United American | $242 | 873% |
| Premier Hospice | $242 | 873% |
| Physicians Mutual Ins | $242 | 873% |
| Union Bankers Insurance C | $242 | 873% |
| Nalc Health Benefit Plan | $242 | 873% |
| Aflc American Family Life | $242 | 873% |
| Nalc Natl Assoc Ltr Carri | $242 | 873% |
| Ltu Athletics | $242 | 873% |
| Lin Parish Detention | $242 | 873% |
| Union Fidelity Life Ins | $242 | 873% |
| Industrial Accounts | $242 | 873% |
| Healthfirst Tpa | $242 | 873% |
| Liberty Mutual Group | $242 | 873% |
| Sterling Investors Life | $242 | 873% |
| Nlmc Community Services | $242 | 873% |
| Principal Mutual Life Ins | $242 | 873% |
| Ruston Regional Specialty | $242 | 873% |
| Crime Victims Compensatio | $242 | 873% |
| Guarantee Trust Life Ins | $242 | 873% |
| Aarp | $242 | 873% |
| Gmp Employers Retiree Tru | $242 | 873% |
| The Hartford | $242 | 873% |
| Newera | $242 | 873% |
| State Farm Insurance | $242 | 873% |
| Apwu Health Plan | $242 | 873% |
| Ima Insurance | $242 | 873% |
| Lincoln Kidney Center | $242 | 873% |
| Gsu Athletics | $242 | 873% |
| Equitable | $242 | 873% |
| State Mutual Ins | $242 | 873% |
| Misc Commercial | $242 | 873% |