CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Winn Parish Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $55
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Winn Parish Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.89x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $33 (114%)
Insurance Median: $55 (189%)
Cash: $33 (114% of Medicare)
Ins. Median: $55 (189% 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.

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 - $111 38%
Medicaid / KanCare $11 - $39 38%
UnitedHealthcare $11 - $35 38%
Wellcare $11 - $35 38%
Ambetter / Centene $28 96%
Blue Advantage $28 96%
Champva $28 96%
Healthy Blue Dual Adv $28 96%
Hospice Misc $28 96%
Humana $28 - $70 96%
Mcr Lagniappe $28 96%
Medicare (plans) $28 - $54 96%
Peoples Health $28 96%
Snf Autumn Leaves $28 96%
Snf Miscellaneous $28 96%
Snf Winnfield Nsg & Rehab $28 96%
Tricare $28 96%
Triwest $28 96%
Self Pay $33 114%
Gulf South Risk Services $36 124%
Blue Cross Blue Shield $54 186%
Ima $56 193%
Multiplan Ppo $59 - $70 203%
Cigna $60 - $63 206%
Natl Assoc Of Letter Carr $60 - $111 206%
First Health Ppo $62 213%
Web Tpa $62 213%
Ppoplus $67 231%
Zelis $67 231%
La Workers Comp Corp $100 344%
Workman'S Comp Op $100 344%
Aflac $111 382%
American Health Advantage $111 382%
American Retirement $111 382%
Amfirst $111 382%
Apwu Health Plan $111 382%
Attorney Claim $111 382%
Bankers Fidelity $111 382%
Commercial Miscellaneous $111 382%
Correct Care Integrated $111 382%
Fox Everett $111 382%
Gilsbar $111 382%
Guarantee Trust Life $111 382%
Heart Of Hospice $111 382%
Hospice Compassus $111 382%
Legacy Hospice $111 382%
Liberty Mutual $111 382%
Medico Insurance Company $111 382%
Meritain Health $111 382%
Miscellaneous $111 382%
Mutual Of Omaha $111 382%
New Era Life Ins $111 382%
Phcs $111 382%
Philadephia American $111 382%
Physicians Mutual $111 382%
Pipeline Ind Benefit Fund $111 382%
Rural Carrier Benefit $111 382%
Sentinel Security Life $111 382%
State Farm $111 382%
United American Ins $111 382%
United Of Omaha Life Ins $111 382%
Usaa Life Ins Co $111 382%
World Insurance Company $111 382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals