Physical therapy (therapeutic exercise)
Facility: Northern Louisiana Medical Center
Billing Code: 97110 (CPT)
- CPT Billing Code: 97110
- Insurance Median: $219
- Cash Discount Price: $142
- vs. Medicare Baseline: 7.54x 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 754% of the Medicare baseline (a markup of 654%). 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 |
|---|---|---|
| Medicaid / KanCare | $11 - $258 | 38% |
| Blue Cross Blue Shield | $11 - $60 | 38% |
| UnitedHealthcare | $11 - $155 | 38% |
| Aetna | $11 - $154 | 38% |
| Humana | $12 - $40 | 41% |
| Champus | $22 | 76% |
| Tricare | $22 - $27 | 76% |
| Champva | $22 | 76% |
| Medicare (plans) | $27 | 93% |
| Gulf South Services | $27 | 93% |
| Veterans Evaluation Svcs | $27 | 93% |
| Mutual of Omaha | $27 | 93% |
| Vantage Advantage | $27 | 93% |
| VA | $27 | 93% |
| First Health | $43 - $219 | 148% |
| Vantage Health Plan Ppaca | $52 | 179% |
| Vantage Health Plan | $54 | 186% |
| Golden Rule Ins | $96 - $155 | 330% |
| Verity Healthnet | $126 | 434% |
| Kaiser Permanente | $129 | 444% |
| Cigna | $129 | 444% |
| Self Pay | $142 | 489% |
| Gilsbar | $142 | 489% |
| Geha | $206 - $245 | 709% |
| PHCS | $219 | 754% |
| Multiplan | $219 | 754% |
| Work Comp First Health | $232 | 798% |
| Work Comp City of Ruston | $232 | 798% |
| Workers Compensation | $232 | 798% |
| Work Comp Nlmc Emp | $232 | 798% |
| Physicians Mutual Ins | $258 | 888% |
| State Farm Insurance | $258 | 888% |
| Lifecare Specialty Hosp | $258 | 888% |
| Guarantee Trust Life Ins | $258 | 888% |
| Gsu Athletics | $258 | 888% |
| Hospice of Caring Hearts | $258 | 888% |
| United American | $258 | 888% |
| Ima Insurance | $258 | 888% |
| The Hartford | $258 | 888% |
| United Teachers Ins | $258 | 888% |
| Principal Mutual Life Ins | $258 | 888% |
| Aflc American Family Life | $258 | 888% |
| Healthfirst Tpa | $258 | 888% |
| Nalc Health Benefit Plan | $258 | 888% |
| Benefit Trust Life | $258 | 888% |
| Nalc Natl Assoc Ltr Carri | $258 | 888% |
| Aarp | $258 | 888% |
| Liberty Mutual Group | $258 | 888% |
| Lin Parish Detention | $258 | 888% |
| Protective Life Ins | $258 | 888% |
| Lincoln Kidney Center | $258 | 888% |
| American Life Accident | $258 | 888% |
| Liberty Healthshare | $258 | 888% |
| Union Bankers Insurance C | $258 | 888% |
| Equitable | $258 | 888% |
| Industrial Accounts | $258 | 888% |
| Misc Commercial | $258 | 888% |
| Gmp Employers Retiree Tru | $258 | 888% |
| Apwu Health Plan | $258 | 888% |
| Ltu Student Ins Bollinger | $258 | 888% |
| Washington National Ins | $258 | 888% |
| Specialty Hosp of Winnfie | $258 | 888% |
| Us Dept of Labor | $258 | 888% |
| Bankers Life and Casualty | $258 | 888% |
| McR American Hlth Adv | $258 | 888% |
| Nlmc Community Services | $258 | 888% |
| Crime Victims Compensatio | $258 | 888% |
| Union Fidelity Life Ins | $258 | 888% |
| State Mutual Ins | $258 | 888% |
| Ltu Athletics | $258 | 888% |
| Ruston Regional Specialty | $258 | 888% |
| Newera | $258 | 888% |
| Sterling Investors Life | $258 | 888% |
| Fox Everett Inc | $258 | 888% |
| Premier Hospice | $258 | 888% |
| Mva Insurance Payors | $258 | 888% |