CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Glenwood Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $148
Cash Discount Price: $253
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Glenwood Regional Medical Center is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 4.52x the Medicare baseline. Located in 503 McMillan Road, West Monroe, LA.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $253 (773%)

Insurance Median: $148 (452%)

Cash: $253 (773% of Medicare)

Ins. Median: $148 (452% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 452% of the Medicare baseline (a markup of 352%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$21	64%
UnitedHealthcare	$21 - $253	64%
Humana	$30 - $174	92%
Medicare (plans)	$31 - $34	95%
Caresact	$32	98%
Hospice	$32	98%
Patients Choice Hospice	$32	98%
Tricare	$32	98%
Dignity Care Health Plan	$34	104%
Self Pay Emergent	$38	116%
Insyss	$53	162%
Ford Beacon Davis	$62	189%
Texas Workers Compensation	$63	192%
Blue Cross Blue Shield	$87	266%
Vantage Health Plan	$91	278%
Coventry Healthcare	$109 - $112	333%
Ppo Plus	$132 - $177	403%
Verity Healthnet Inc	$144	440%
Aetna	$165	504%
Iasis Employees	$171	522%
Gilsbar 360 Alliance	$177	541%
Three Rivers Provider Network	$215	657%
Verity Healthnet	$215	657%
Galaxy Health Network	$228	697%
Louisiana Workers Compensation	$228	697%
Commercial Non-Contracted	$253	773%
Medsolutions	$253	773%
Mhnet	$253	773%
Self Pay - Mcd Pending 100 Percent	$253	773%
Single Case Agreement	$253	773%
Cigna	$261	797%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $253.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Glenwood Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.