Physical therapy (neuromuscular re-education)
Facility: Northern Louisiana Medical Center
Billing Code: 97112 (CPT)
- CPT Billing Code: 97112
- Insurance Median: $240
- Cash Discount Price: $147
- vs. Medicare Baseline: 7.33x 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 $32.73 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 733% of the Medicare baseline (a markup of 633%). 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 | $20 - $160 | 61% |
| Champus | $25 | 76% |
| Tricare | $25 - $30 | 76% |
| Champva | $25 | 76% |
| Veterans Evaluation Svcs | $31 | 95% |
| Blue Cross Blue Shield | $31 - $69 | 95% |
| Medicare (plans) | $31 | 95% |
| VA | $31 | 95% |
| Vantage Advantage | $31 | 95% |
| Mutual of Omaha | $31 | 95% |
| Gulf South Services | $31 | 95% |
| Humana | $31 - $42 | 95% |
| Aetna | $38 - $160 | 116% |
| Medicaid / KanCare | $38 - $266 | 116% |
| First Health | $50 - $227 | 153% |
| Vantage Health Plan Ppaca | $59 | 180% |
| Vantage Health Plan | $62 | 189% |
| Golden Rule Ins | $100 - $160 | 306% |
| Verity Healthnet | $131 | 400% |
| Cigna | $133 | 406% |
| Kaiser Permanente | $133 | 406% |
| Gilsbar | $147 | 449% |
| Self Pay | $147 | 449% |
| Geha | $213 - $253 | 651% |
| Multiplan | $227 | 694% |
| PHCS | $227 | 694% |
| Workers Compensation | $240 | 733% |
| Work Comp Nlmc Emp | $240 | 733% |
| Work Comp First Health | $240 | 733% |
| Work Comp City of Ruston | $240 | 733% |
| Ima Insurance | $266 | 813% |
| Lincoln Kidney Center | $266 | 813% |
| Union Bankers Insurance C | $266 | 813% |
| Industrial Accounts | $266 | 813% |
| Equitable | $266 | 813% |
| Lifecare Specialty Hosp | $266 | 813% |
| Principal Mutual Life Ins | $266 | 813% |
| Nalc Health Benefit Plan | $266 | 813% |
| McR American Hlth Adv | $266 | 813% |
| Union Fidelity Life Ins | $266 | 813% |
| Sterling Investors Life | $266 | 813% |
| Ltu Student Ins Bollinger | $266 | 813% |
| United American | $266 | 813% |
| Gmp Employers Retiree Tru | $266 | 813% |
| Specialty Hosp of Winnfie | $266 | 813% |
| Washington National Ins | $266 | 813% |
| Aarp | $266 | 813% |
| Us Dept of Labor | $266 | 813% |
| Nlmc Community Services | $266 | 813% |
| Gsu Athletics | $266 | 813% |
| Mva Insurance Payors | $266 | 813% |
| Lin Parish Detention | $266 | 813% |
| Benefit Trust Life | $266 | 813% |
| Healthfirst Tpa | $266 | 813% |
| Hospice of Caring Hearts | $266 | 813% |
| Physicians Mutual Ins | $266 | 813% |
| Newera | $266 | 813% |
| Liberty Healthshare | $266 | 813% |
| Protective Life Ins | $266 | 813% |
| Ltu Athletics | $266 | 813% |
| Crime Victims Compensatio | $266 | 813% |
| United Teachers Ins | $266 | 813% |
| State Mutual Ins | $266 | 813% |
| Misc Commercial | $266 | 813% |
| Guarantee Trust Life Ins | $266 | 813% |
| Liberty Mutual Group | $266 | 813% |
| Fox Everett Inc | $266 | 813% |
| Apwu Health Plan | $266 | 813% |
| Bankers Life and Casualty | $266 | 813% |
| American Life Accident | $266 | 813% |
| Aflc American Family Life | $266 | 813% |
| Nalc Natl Assoc Ltr Carri | $266 | 813% |
| State Farm Insurance | $266 | 813% |
| Premier Hospice | $266 | 813% |
| The Hartford | $266 | 813% |
| Ruston Regional Specialty | $266 | 813% |