CMS Price Transparency Data

Physical therapy (gait training)

Facility: Leonard J Chabert Medical Center

Billing Code: 97116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97116
Insurance Median: $43
Cash Discount Price: $28
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Physical therapy (gait training) at Leonard J Chabert Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.48x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $28 (96%)

Insurance Median: $43 (148%)

Cash: $28 (96% of Medicare)

Ins. Median: $43 (148% 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.

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	$24	83%
Tricare	$25 - $26	86%
Aetna	$27 - $42	93%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$27	93%
Blue Cross Blue Shield	$27 - $78	93%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$27	93%
Medicare (plans)	$27	93%
Ochsner Health Plan	$27	93%
UnitedHealthcare	$27	93%
Verity Commercial And First Choice Network	$34	117%
Claritev D/B/A Multiplan/Phcs/American Life Care	$44	151%
Louisiana Workers' Compensation Corporation (Lwcc)	$44	151%
First Health Network	$47	162%
Healthcomp & Personify Health (Formerly Gilsbar)	$48	165%
Usa Managed Care Network	$50	172%
Zelis	$67	231%
Cigna	$115	396%

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 $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Leonard J Chabert Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97116.
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.