CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Dequincy Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $30
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Dequincy Memorial Hospital is $30. 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 $18.39, this hospital’s rate is 1.63x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Cash / Self-Pay: $50 (272%)
Insurance Median: $30 (163%)
Cash: $50 (272% of Medicare)
Ins. Median: $30 (163% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $18.39 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.

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 $4 - $47 22%
Cigna $4 - $71 22%
Amerihealth Caritas La $18 - $47 98%
Correct Care $18 - $47 98%
Healthy Blue $18 - $47 98%
Humana $18 - $52 98%
Louisiana Health Connect $18 - $47 98%
Medicaid / KanCare $18 - $71 98%
UnitedHealthcare $18 - $47 98%
Allegiance Hospice $30 163%
Ambetter / Centene $30 163%
Blue Advantage $30 163%
Mcr Lagniappe $30 163%
Medicare (plans) $30 163%
Mutual Of Omaha $30 163%
Peoples Health $30 163%
Pro Care Advantage $30 163%
Tricare $30 163%
Vaccn $30 163%
Wellcare $30 163%
Blue Cross Blue Shield $32 - $33 174%
Gulf South Risk Service $43 234%
Mc Vantage Health Plan $43 - $46 234%
Self Pay $50 272%
Work Comp $64 348%
Aarp Healthcare $71 386%
Allegiance Home Health Sw $71 386%
American Health Adv $71 386%
Amfirst $71 386%
Attorney $71 386%
Bankers Life $71 386%
Care Center Of Dequincy $71 386%
Commerical $71 386%
Harbor Hospice $71 386%
High Hope Care Center $71 386%
Medi-Share $71 386%
Ppo Plus Lc $71 386%
Rural Health Carriers $71 386%
Tri Parish Rehab $71 386%
United Teachers Assoc $71 386%

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