CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Oakdale Community Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $31
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Oakdale Community Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.95x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $26 (79%)
Insurance Median: $31 (95%)
Cash: $26 (79% of Medicare)
Ins. Median: $31 (95% 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.

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
Aarp $25 - $27 76%
All Savers Insurance $25 - $27 76%
Geha $25 - $27 76%
United Hc Shared Services $25 - $27 76%
UnitedHealthcare $25 - $31 76%
Amfirst $26 79%
Self Pay $26 79%
Aetna $29 - $74 89%
Medicaid / KanCare $29 89%
Allegiance Hospice $31 95%
Allen Oaks Hospice $31 95%
Ambetter / Centene $31 95%
Blue Cross Blue Shield $31 - $56 95%
Champva $31 95%
Compassionate Care Hospic $31 95%
Correct Care $31 - $132 95%
Golden Rule $31 - $33 95%
Harbor Hospice $31 95%
Healthy Blue Dual Adv $31 95%
Heart Of Hospice $31 95%
Hos Misc Hospice $31 95%
Humana $31 - $83 95%
Ice Health Service Corp $31 95%
Mcr Lagniappe $31 95%
Medicare (plans) $31 - $33 95%
Mutual Of Omaha $31 95%
Snf Nursing Home $31 95%
St Francis Nursing Home $31 95%
Triwest $31 - $132 95%
Us Family Health Plan $31 - $132 95%
Wellcare $31 95%
Wellcare Of Louisiana $31 95%
Mcr American Hlth Adv $33 101%
Meritain $37 - $74 113%
Gulf South Risk Svcs Ip $40 122%
Integrated Med Solutions $44 134%
Hawaii Mainland Administr $47 144%
Web-Tpa $66 202%
Cigna $72 - $74 220%
Ima $79 - $132 241%
Ppo Plus $79 241%
Wc Gulf South Risk Srvcs $119 364%
Wc Martco $119 364%
Wc Misc $119 364%
Wc Risk Mgmnt-Baton Rouge $119 364%
Wc Sedwick Workmans Comp $119 364%
Wc Us Department Of Labor $119 364%
American Public Life $132 403%
American Retirement Life $132 403%
Apwu $132 403%
Auto Liability $132 403%
Bankers Life $132 403%
Fox Everitt $132 403%
Mailhandlers Benefit Plan $132 403%
Medishare $132 403%
Medplus $132 403%
Misc Commerical $132 403%
Phcs $132 403%
Physicians Mutual $132 403%
State Farm-La $132 403%
Usaa $132 403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals