CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Dequincy Memorial Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $20
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 3.91x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Dequincy Memorial Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.91x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $33 (645%)
Insurance Median: $20 (391%)
Cash: $33 (645% of Medicare)
Ins. Median: $20 (391% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 391% of the Medicare baseline (a markup of 291%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $3 - $31 59%
Cigna $3 - $47 59%
Amerihealth Caritas La $5 - $31 98%
Correct Care $5 - $31 98%
Healthy Blue $5 - $31 98%
Humana $5 - $34 98%
Louisiana Health Connect $5 - $31 98%
Medicaid / KanCare $5 - $47 98%
UnitedHealthcare $5 - $31 98%
Blue Cross Blue Shield $9 176%
Allegiance Hospice $20 391%
Ambetter / Centene $20 391%
Blue Advantage $20 391%
Mcr Lagniappe $20 391%
Medicare (plans) $20 391%
Mutual Of Omaha $20 391%
Peoples Health $20 391%
Pro Care Advantage $20 391%
Tricare $20 391%
Vaccn $20 391%
Wellcare $20 391%
Mc Vantage Health Plan $28 - $31 547%
Gulf South Risk Service $29 566%
Self Pay $33 645%
Work Comp $42 820%
Aarp Healthcare $47 918%
Allegiance Home Health Sw $47 918%
American Health Adv $47 918%
Amfirst $47 918%
Attorney $47 918%
Bankers Life $47 918%
Care Center Of Dequincy $47 918%
Commerical $47 918%
Harbor Hospice $47 918%
High Hope Care Center $47 918%
Medi-Share $47 918%
Ppo Plus Lc $47 918%
Rural Health Carriers $47 918%
Tri Parish Rehab $47 918%
United Teachers Assoc $47 918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 West 4Th Street, Dequincy, LA 70633
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals