CMS Price Transparency Data

Physical therapy (gait training)

Facility: Richland Parish Hospital-Delhi

Billing Code: 97116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97116
Insurance Median: $55
Cash Discount Price: $46
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Physical therapy (gait training) at Richland Parish Hospital-Delhi is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.89x the Medicare baseline. Located in 407 Cincinnati Street, Delhi, LA.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $46 (158%)

Insurance Median: $55 (189%)

Cash: $46 (158% of Medicare)

Ins. Median: $55 (189% 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
Aetna	$43 - $55	148%
Humana	$43 - $60	148%
Vantage Mcr Adv	$43	148%
Blue Cross Blue Shield	$44 - $51	151%
Geha-All Plans	$50	172%
Ppo Plus-All Plans	$50	172%
Verity Healthnet Exclusive	$53	182%
Amerihealth Caritas-All Plans	$55	189%
Healthy Blue Mcaid-All Plans	$55	189%
Galaxy Network-All Plans	$57	196%
UnitedHealthcare	$57	196%
Multiplan-All Plans	$60	206%
Verity Healthnet Standard-All Other Plans	$60	206%
Vantage-All Other Plans	$64	220%
Vantage Ppo	$67	231%
Cigna	$80	275%

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 $46.
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 Richland Parish Hospital-Delhi 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.