CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Dequincy Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $757
  • Cash Discount Price: $1,248
  • vs. Medicare Baseline: 7.09x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Dequincy Memorial Hospital is $757. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,248. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.09x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$1,248

Average discount available for prompt cash payment at this facility.

Insurance Median
$757

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,248 (1168%)
Insurance Median: $757 (709%)
Cash: $1,248 (1168% of Medicare)
Ins. Median: $757 (709% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 709% of the Medicare baseline (a markup of 609%). 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
Cigna $97 - $1,784 91%
Aetna $100 - $1,186 94%
Humana $133 - $1,304 125%
Blue Cross Blue Shield $198 - $203 185%
Allegiance Hospice $749 701%
Ambetter / Centene $749 701%
Blue Advantage $749 701%
Mcr Lagniappe $749 701%
Medicare (plans) $749 701%
Mutual Of Omaha $749 701%
Peoples Health $749 701%
Pro Care Advantage $749 701%
Tricare $749 701%
UnitedHealthcare $749 - $1,186 701%
Vaccn $749 701%
Wellcare $749 701%
Mc Vantage Health Plan $1,070 - $1,159 1002%
Gulf South Risk Service $1,090 1021%
Amerihealth Caritas La $1,186 1110%
Correct Care $1,186 1110%
Healthy Blue $1,186 1110%
Louisiana Health Connect $1,186 1110%
Medicaid / KanCare $1,186 - $1,784 1110%
Self Pay $1,248 1168%
Work Comp $1,605 1503%
Aarp Healthcare $1,784 1670%
Allegiance Home Health Sw $1,784 1670%
American Health Adv $1,784 1670%
Amfirst $1,784 1670%
Attorney $1,784 1670%
Bankers Life $1,784 1670%
Care Center Of Dequincy $1,784 1670%
Commerical $1,784 1670%
Harbor Hospice $1,784 1670%
High Hope Care Center $1,784 1670%
Medi-Share $1,784 1670%
Ppo Plus Lc $1,784 1670%
Rural Health Carriers $1,784 1670%
Tri Parish Rehab $1,784 1670%
United Teachers Assoc $1,784 1670%

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