CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $85
Cash Discount Price: $50
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Ochsner Medical Center - Baton Rouge is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 3.07x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)

Cash / Self-Pay: $50 (180%)

Insurance Median: $85 (307%)

Cash: $50 (180% of Medicare)

Ins. Median: $85 (307% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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 307% of the Medicare baseline (a markup of 207%). 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	$22	79%
Tricare	$25	90%
Zelis	$25	90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$26	94%
Blue Cross Blue Shield	$26 - $95	94%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$26	94%
Humana	$26	94%
Medicare (plans)	$26	94%
Ochsner Health Plan	$26	94%
UnitedHealthcare	$26 - $389	94%
Aetna	$72	260%
Claritev D/B/A Multiplan/Phcs/American Life Care	$94	339%
Healthcomp & Personify Health (Formerly Gilsbar)	$94	339%
Louisiana Workers' Compensation Corporation (Lwcc)	$117	422%
Mississippi Physicians Care Network	$117	422%
First Health Network	$125	451%
Prime Health Services Ppo	$133	480%
Usa Managed Care Network	$133	480%
Cigna	$266	960%

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 $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center - Baton Rouge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
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.