CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Dequincy Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,888
  • Cash Discount Price: $3,116
  • vs. Medicare Baseline: 5.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Dequincy Memorial Hospital is $1,888. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,116. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.30x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$3,116

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,888

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,116 (874%)
Insurance Median: $1,888 (530%)
Cash: $3,116 (874% of Medicare)
Ins. Median: $1,888 (530% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 530% of the Medicare baseline (a markup of 430%). 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 $240 - $2,959 67%
Cigna $243 - $4,452 68%
Humana $306 - $3,255 86%
Blue Cross Blue Shield $675 - $693 189%
Allegiance Hospice $1,870 525%
Ambetter / Centene $1,870 525%
Blue Advantage $1,870 525%
Mcr Lagniappe $1,870 525%
Medicare (plans) $1,870 525%
Mutual Of Omaha $1,870 525%
Peoples Health $1,870 525%
Pro Care Advantage $1,870 525%
Tricare $1,870 525%
UnitedHealthcare $1,870 - $2,959 525%
Vaccn $1,870 525%
Wellcare $1,870 525%
Mc Vantage Health Plan $2,671 - $2,893 749%
Gulf South Risk Service $2,720 763%
Amerihealth Caritas La $2,959 830%
Correct Care $2,959 830%
Healthy Blue $2,959 830%
Louisiana Health Connect $2,959 830%
Medicaid / KanCare $2,959 - $4,452 830%
Self Pay $3,116 874%
Work Comp $4,006 1124%
Aarp Healthcare $4,452 1249%
Allegiance Home Health Sw $4,452 1249%
American Health Adv $4,452 1249%
Amfirst $4,452 1249%
Attorney $4,452 1249%
Bankers Life $4,452 1249%
Care Center Of Dequincy $4,452 1249%
Commerical $4,452 1249%
Harbor Hospice $4,452 1249%
High Hope Care Center $4,452 1249%
Medi-Share $4,452 1249%
Ppo Plus Lc $4,452 1249%
Rural Health Carriers $4,452 1249%
Tri Parish Rehab $4,452 1249%
United Teachers Assoc $4,452 1249%

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