CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Ochsner LSU Health Monroe

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97110
Insurance Median: $47
Cash Discount Price: $28
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Ochsner LSU Health Monroe is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.62x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)

Cash / Self-Pay: $28 (96%)

Insurance Median: $47 (162%)

Cash: $28 (96% of Medicare)

Ins. Median: $47 (162% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$11 - $63	38%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$11	38%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$11	38%
Humana	$11 - $27	38%
Louisiana Healthcare Connections (Healthy Louisiana)	$11	38%
UnitedHealthcare	$11 - $156	38%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$27	93%
Blue Cross Blue Shield	$27 - $56	93%
Medicare (plans)	$27	93%
Vantage Health Plan - Commercial	$30	103%
Zelis	$43	148%
Verity Health Network – Lsu First Choice	$50 - $51	172%
Healthcomp Ppo (Formerly Gilsbar 360	$68	234%
First Health Network	$79	272%
Multiplan/Phcs/American Lifecare	$84 - $85	289%
Usa Managed Care Network	$90 - $91	310%
Cigna	$114	392%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner LSU Health Monroe is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.