CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Rapides Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $32
Cash Discount Price: $489
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Rapides Regional Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $489. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$489

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $489 (1494%)

Insurance Median: $32 (98%)

Cash: $489 (1494% of Medicare)

Ins. Median: $32 (98% of 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.

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	$27 - $208	82%
Blue Cross Blue Shield	$27 - $74	82%
Devoted Health	$27 - $31	82%
Humana	$27 - $177	82%
Triwest Healthcare Alliance	$27 - $30	82%
United	$27 - $120	82%
United Va Ccn	$27 - $31	82%
Vantage Health Plan	$27 - $81	82%
Dignity Care Corporation	$28 - $32	86%
Wellcare	$29 - $32	89%
Medical Development International	$31 - $36	95%
Universal Healthcare	$33 - $37	101%
Allegiance Health Management	$49 - $56	150%
Verity	$132 - $161	403%
Cigna	$138 - $168	422%
Ppo Plus	$167 - $204	510%
Louisiana Workers Compensation Corporation	$216 - $263	660%
Gilsbar 360	$233 - $285	712%
Multiplan	$239 - $312	730%
Dma Regional Ppo	$308 - $376	941%
Employers Health Network	$308 - $376	941%
First Health	$308 - $376	941%
Healthsouth Corporation	$308 - $376	941%
Plan Vista Solutions (Nppn)	$343 - $419	1048%
Bestcomp	$357 - $436	1091%

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 $489.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rapides Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
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.