CMS Price Transparency Data
Physical therapy (therapeutic exercise)
Facility: Avoyelles Hospital
Billing Code: 97110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97110
- Insurance Median: $50
- Cash Discount Price: $25
- vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Avoyelles Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.72x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$25
Average discount available for prompt cash payment at this facility.
Insurance Median
$50
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: $25 (86%)
Insurance Median: $50 (172%)
Cash: $25 (86% of Medicare)
Ins. Median: $50 (172% 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
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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 - $47 | 38% |
| Cigna | $11 - $47 | 38% |
| Correct Cr Int Hlt | $11 - $17 | 38% |
| Mcd Amerihealth Caritas | $11 - $17 | 38% |
| Mcd Healthy Blue | $11 - $17 | 38% |
| Mcd La Hc Conn | $11 - $17 | 38% |
| Medicaid / KanCare | $11 - $17 | 38% |
| UnitedHealthcare | $11 - $28 | 38% |
| Mcd Ms | $12 - $19 | 41% |
| All Savers | $22 | 76% |
| Geha | $22 | 76% |
| United Hlth One | $22 | 76% |
| Student Assurances | $25 - $84 | 86% |
| Humana | $26 - $48 | 89% |
| Bankers Life | $28 | 96% |
| Champva | $28 | 96% |
| Mcr Lagniappe | $28 | 96% |
| Medeico Ins Co | $28 | 96% |
| Medicare (plans) | $28 | 96% |
| Mmc Allwell | $28 | 96% |
| Mmc Blue Advantage | $28 | 96% |
| Mmc Healthy Blue Dual Adv | $28 | 96% |
| Mmc Mcr Hmo Miscellaneous | $28 | 96% |
| Mmc Priority Hlth Pffs | $28 | 96% |
| Mmc Vantage Hlth | $28 | 96% |
| Mmc Wellcare | $28 | 96% |
| Mutual Of Omaha | $28 | 96% |
| Neba Inc | $28 | 96% |
| Philadelphia American Lif | $28 | 96% |
| Sentinel Security Life | $28 | 96% |
| Trustmark Health Benefits | $28 - $84 | 96% |
| Tunica Biloxi | $28 - $84 | 96% |
| United Amer Ins | $28 | 96% |
| Veterans Evaluation Serv | $28 | 96% |
| Wps Vacca | $28 | 96% |
| Gulf South Zelis | $36 | 124% |
| Amer Contl Ins | $39 - $47 | 134% |
| Coventry | $39 - $47 | 134% |
| First Choice Health | $39 - $47 | 134% |
| Meritan Health | $39 - $84 | 134% |
| Blue Cross Blue Shield | $47 | 162% |
| Ofc Of Grp Bene | $47 | 162% |
| Ppo Plus Llc | $50 | 172% |
| Zelis Healthcare Bpa | $50 | 172% |
| Gilsbar | $53 | 182% |
| Amerind | $76 | 262% |
| Applied Underwriters | $76 | 262% |
| Sedgwick | $76 | 262% |
| Us Dept Of Labor | $76 | 262% |
| Wc Clms Admin Svcs | $76 | 262% |
| Wc Clms Mgmnt Walmart | $76 | 262% |
| Wc Esis | $76 | 262% |
| Wc Fara | $76 | 262% |
| Wc Gallagher Bassett | $76 | 262% |
| Wc Guide One | $76 | 262% |
| Wc Hartford Med | $76 | 262% |
| Wc Luba | $76 | 262% |
| Wc Lwcc | $76 | 262% |
| Wc Paragon Casino Resort | $76 | 262% |
| Wc Risk Mgmnt | $76 | 262% |
| Wc Stone Trust | $76 | 262% |
| Wc Summit Consulting Hold | $76 | 262% |
| Wc Travelers Ins | $76 | 262% |
| Wc Trs Workers Comp Claim | $76 | 262% |
| Wc Us Dol | $76 | 262% |
| Wc Zurich | $76 | 262% |
| Aarp | $84 | 289% |
| Admin Concepts | $84 | 289% |
| All Saints Hospice | $84 | 289% |
| All State | $84 | 289% |
| Allegiance Health Hospice | $84 | 289% |
| Allied Natl | $84 | 289% |
| Amfirst | $84 | 289% |
| Avoy Parish School Board | $84 | 289% |
| Avoyelles Parish Sheriff | $84 | 289% |
| Bollinger | $84 | 289% |
| Ccmsi | $84 | 289% |
| Central States | $84 | 289% |
| Christus Health Plan | $84 | 289% |
| Compassionate Care Hospic | $84 | 289% |
| Core Source | $84 | 289% |
| Coushatta Hlth Dept | $84 | 289% |
| Ebms | $84 | 289% |
| Federated Ins | $84 | 289% |
| Feedom Life | $84 | 289% |
| Fidelity Standard Life Co | $84 | 289% |
| Fox Everette | $84 | 289% |
| Guarantee Trust | $84 | 289% |
| Heart Of Hospice | $84 | 289% |
| Hos Christus Hospice | $84 | 289% |
| Hos Guardian Hospice Care | $84 | 289% |
| Hos Harbor Hospice Alex | $84 | 289% |
| Hos La Hospice Palliative | $84 | 289% |
| Hos Passages Hospice N. | $84 | 289% |
| Hos St Joseph Hospice | $84 | 289% |
| Hospice Miscellaneous | $84 | 289% |
| Ins Mgmnt Admin | $84 | 289% |
| Ins Tpa | $84 | 289% |
| Liberty Health Share | $84 | 289% |
| Lumico | $84 | 289% |
| Manhattan Life Ins | $84 | 289% |
| Medi Share | $84 | 289% |
| Misc Comm | $84 | 289% |
| Nalc | $84 | 289% |
| New Era Life | $84 | 289% |
| North American | $84 | 289% |
| Phcs | $84 | 289% |
| Physicians Mutual | $84 | 289% |
| Pipeline Ind Bene | $84 | 289% |
| Progressive Auto | $84 | 289% |
| Reliance Standard Life | $84 | 289% |
| Rural Carriers | $84 | 289% |
| Shelter Ins Co | $84 | 289% |
| Sierre Health And Life | $84 | 289% |
| State Farm | $84 | 289% |
| State Mutual | $84 | 289% |
| Sterling Investors | $84 | 289% |
| The Health Plan | $84 | 289% |
| Tribal Hlth Partners | $84 | 289% |
| Tricare | $84 | 289% |
| Uct | $84 | 289% |
| Unified Life | $84 | 289% |
| Usaa Life Ins | $84 | 289% |
| Web-Tpa | $84 | 289% |
| Woodmen Of The World | $84 | 289% |