CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Mercy Regional Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $188
Cash Discount Price: $63
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Mercy Regional Medical Center is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 5.74x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $63 (192%)

Insurance Median: $188 (574%)

Cash: $63 (192% of Medicare)

Ins. Median: $188 (574% 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 574% of the Medicare baseline (a markup of 474%). 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
Aetna	$25	76%
Mcd Hmo Amerigroup	$25	76%
Mcd Hmo La Care	$25	76%
Mcd Hmo La Hlth Cr Connct	$25	76%
Medicaid / KanCare	$25 - $209	76%
Tricare	$25 - $209	76%
UnitedHealthcare	$26	79%
Mcd Hmo Com Hlth Solution	$28	86%
Pp0/Manged Care	$39 - $209	119%
Charity/Map	$63 - $209	192%
Blue Cross Blue Shield	$66	202%
Ppo/Manged Care	$104 - $209	318%
American Postal Workers	$167	510%
Work Comp	$188	574%
Commerical	$209	639%
Commerical Ip	$209	639%
Mcr American Hlth Adv	$209	639%
Medicare (plans)	$209	639%
Mra Auto/Liability	$209	639%

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 $63.
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 Mercy 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.