CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Dequincy Memorial Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $37
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Dequincy Memorial Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.17x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $39 (17%)
Insurance Median: $37 (17%)
Cash: $39 (17% of Medicare)
Ins. Median: $37 (17% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 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.

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 - $37 1%
Cigna $3 - $56 1%
Humana $13 - $41 6%
Allegiance Hospice $24 11%
Ambetter / Centene $24 11%
Blue Advantage $24 11%
Mcr Lagniappe $24 11%
Medicare (plans) $24 11%
Mutual Of Omaha $24 11%
Peoples Health $24 11%
Pro Care Advantage $24 11%
Tricare $24 11%
UnitedHealthcare $24 - $37 11%
Vaccn $24 11%
Wellcare $24 11%
Gulf South Risk Service $34 15%
Mc Vantage Health Plan $34 - $36 15%
Amerihealth Caritas La $37 17%
Correct Care $37 17%
Healthy Blue $37 17%
Louisiana Health Connect $37 17%
Medicaid / KanCare $37 - $56 17%
Self Pay $39 17%
Work Comp $50 22%
Aarp Healthcare $56 25%
Allegiance Home Health Sw $56 25%
American Health Adv $56 25%
Amfirst $56 25%
Attorney $56 25%
Bankers Life $56 25%
Care Center Of Dequincy $56 25%
Commerical $56 25%
Harbor Hospice $56 25%
High Hope Care Center $56 25%
Medi-Share $56 25%
Ppo Plus Lc $56 25%
Rural Health Carriers $56 25%
Tri Parish Rehab $56 25%
United Teachers Assoc $56 25%
Blue Cross Blue Shield $325 - $334 145%

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