CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Oakdale Community Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $28
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Oakdale Community Hospital is $28. 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 0.96x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $28 (96%)
Cash: $25 (86% of Medicare)
Ins. Median: $28 (96% 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 - $71 38%
Medicaid / KanCare $11 - $28 38%
UnitedHealthcare $11 - $28 38%
Humana $12 - $80 41%
Aarp $21 - $22 72%
All Savers Insurance $21 - $22 72%
Geha $21 - $22 72%
United Hc Shared Services $21 - $22 72%
Amfirst $25 86%
Self Pay $25 86%
Allegiance Hospice $28 96%
Allen Oaks Hospice $28 96%
Ambetter / Centene $28 96%
Blue Cross Blue Shield $28 - $49 96%
Champva $28 96%
Compassionate Care Hospic $28 96%
Correct Care $28 - $126 96%
Golden Rule $28 - $29 96%
Harbor Hospice $28 96%
Healthy Blue Dual Adv $28 96%
Heart Of Hospice $28 96%
Hos Misc Hospice $28 96%
Ice Health Service Corp $28 96%
Mcr Lagniappe $28 96%
Medicare (plans) $28 - $29 96%
Mutual Of Omaha $28 96%
Snf Nursing Home $28 96%
St Francis Nursing Home $28 96%
Triwest $28 - $126 96%
Us Family Health Plan $28 - $126 96%
Wellcare $28 96%
Wellcare Of Louisiana $28 96%
Mcr American Hlth Adv $29 100%
Meritain $32 - $71 110%
Gulf South Risk Svcs Ip $36 124%
Integrated Med Solutions $39 134%
Hawaii Mainland Administr $41 141%
Web-Tpa $63 217%
Cigna $69 - $71 237%
Ima $76 - $126 262%
Ppo Plus $76 262%
Wc Gulf South Risk Srvcs $114 392%
Wc Martco $114 392%
Wc Misc $114 392%
Wc Risk Mgmnt-Baton Rouge $114 392%
Wc Sedwick Workmans Comp $114 392%
Wc Us Department Of Labor $114 392%
American Public Life $126 434%
American Retirement Life $126 434%
Apwu $126 434%
Auto Liability $126 434%
Bankers Life $126 434%
Fox Everitt $126 434%
Mailhandlers Benefit Plan $126 434%
Medishare $126 434%
Medplus $126 434%
Misc Commerical $126 434%
Phcs $126 434%
Physicians Mutual $126 434%
State Farm-La $126 434%
Usaa $126 434%

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