CMS Price Transparency Data

Physical therapy (gait training)

Facility: West Jefferson Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 1.1× the $29 Medicare rate · typically $17–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
Below the fair price — a good deal
about $21 under the fair price · 0.4× Medicare
Medicare pays $29 Fair price $32 This hospital $11 Cash price $30 Hospital's list price $187

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Lowest price of the 9 LA hospitals we have prices for — a strong deal.

Cheapest $11 Priciest $27

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $32 (about 1.1× the $29 Medicare rate). West Jefferson Medical Center charges insurers about $11, or about $30 in cash — below the fair price — a good deal. Located in Marrero, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $11 - $177 38%
Blue Cross Blue Shieldmajor $43 - $58 148%
Aetnamajor $11 38%
Humanamajor $11 38%
AmeriHealth $11 38%
+ 2 smaller / regional plans $11
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1101 Medical Center Blvd, Marrero, LA 70072
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals