CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Ochsner Medical Center-Hancock

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $33
Cash Discount Price: $52
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Ochsner Medical Center-Hancock is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $52 (159%)

Insurance Median: $33 (101%)

Cash: $52 (159% of Medicare)

Ins. Median: $33 (101% 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.

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
Humana	$23 - $30	70%
Medicaid / KanCare	$28 - $29	86%
Aetna	$30 - $110	92%
Cigna	$30 - $162	92%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$30	92%
Medicare (plans)	$30 - $31	92%
UnitedHealthcare	$30 - $235	92%
Shared Health Mississippi	$31	95%
Blue Cross Blue Shield	$34 - $41	104%
Ambetter / Centene	$47	144%
Mississippi Physicians Care Network	$68	208%
Zelis	$71	217%
Primewell Health Services Commercial Exchange Plan	$83	254%
Primewell Health Services – Commercial	$83	254%
Claritev D/B/A Multiplan/Phcs/American Life Care	$87	266%
Healthcomp & Personify Health (Formerly Gilsbar)	$95	290%
Select Administrative Services Network	$95	290%

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 $52.
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 Ochsner Medical Center-Hancock 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.