CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Dequincy Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,493
  • Cash Discount Price: $2,463
  • vs. Medicare Baseline: 6.12x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Dequincy Memorial Hospital is $1,493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,463. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.12x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$2,463

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,493

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,463 (1010%)
Insurance Median: $1,493 (612%)
Cash: $2,463 (1010% of Medicare)
Ins. Median: $1,493 (612% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 612% of the Medicare baseline (a markup of 512%). 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
Humana $184 - $2,573 75%
Cigna $192 - $3,519 79%
Aetna $198 - $2,339 81%
Blue Cross Blue Shield $412 - $423 169%
Allegiance Hospice $1,478 606%
Ambetter / Centene $1,478 606%
Blue Advantage $1,478 606%
Mcr Lagniappe $1,478 606%
Medicare (plans) $1,478 606%
Mutual Of Omaha $1,478 606%
Peoples Health $1,478 606%
Pro Care Advantage $1,478 606%
Tricare $1,478 606%
UnitedHealthcare $1,478 - $2,339 606%
Vaccn $1,478 606%
Wellcare $1,478 606%
Mc Vantage Health Plan $2,111 - $2,287 866%
Gulf South Risk Service $2,150 882%
Amerihealth Caritas La $2,339 960%
Correct Care $2,339 960%
Healthy Blue $2,339 960%
Louisiana Health Connect $2,339 960%
Medicaid / KanCare $2,339 - $3,519 960%
Self Pay $2,463 1010%
Work Comp $3,167 1299%
Aarp Healthcare $3,519 1444%
Allegiance Home Health Sw $3,519 1444%
American Health Adv $3,519 1444%
Amfirst $3,519 1444%
Attorney $3,519 1444%
Bankers Life $3,519 1444%
Care Center Of Dequincy $3,519 1444%
Commerical $3,519 1444%
Harbor Hospice $3,519 1444%
High Hope Care Center $3,519 1444%
Medi-Share $3,519 1444%
Ppo Plus Lc $3,519 1444%
Rural Health Carriers $3,519 1444%
Tri Parish Rehab $3,519 1444%
United Teachers Assoc $3,519 1444%

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