CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Dequincy Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $835
  • Cash Discount Price: $1,378
  • vs. Medicare Baseline: 7.82x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Dequincy Memorial Hospital is $835. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,378. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.82x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$1,378

Average discount available for prompt cash payment at this facility.

Insurance Median
$835

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: $1,378 (1290%)
Insurance Median: $835 (782%)
Cash: $1,378 (1290% of Medicare)
Ins. Median: $835 (782% 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 782% of the Medicare baseline (a markup of 682%). 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 $107 - $1,968 100%
Aetna $111 - $1,309 104%
Humana $130 - $1,440 122%
Blue Cross Blue Shield $198 - $203 185%
Allegiance Hospice $827 774%
Ambetter / Centene $827 774%
Blue Advantage $827 774%
Mcr Lagniappe $827 774%
Medicare (plans) $827 774%
Mutual Of Omaha $827 774%
Peoples Health $827 774%
Pro Care Advantage $827 774%
Tricare $827 774%
UnitedHealthcare $827 - $1,309 774%
Vaccn $827 774%
Wellcare $827 774%
Mc Vantage Health Plan $1,181 - $1,280 1106%
Gulf South Risk Service $1,203 1126%
Amerihealth Caritas La $1,309 1226%
Correct Care $1,309 1226%
Healthy Blue $1,309 1226%
Louisiana Health Connect $1,309 1226%
Medicaid / KanCare $1,309 - $1,968 1226%
Self Pay $1,378 1290%
Work Comp $1,772 1659%
Aarp Healthcare $1,968 1843%
Allegiance Home Health Sw $1,968 1843%
American Health Adv $1,968 1843%
Amfirst $1,968 1843%
Attorney $1,968 1843%
Bankers Life $1,968 1843%
Care Center Of Dequincy $1,968 1843%
Commerical $1,968 1843%
Harbor Hospice $1,968 1843%
High Hope Care Center $1,968 1843%
Medi-Share $1,968 1843%
Ppo Plus Lc $1,968 1843%
Rural Health Carriers $1,968 1843%
Tri Parish Rehab $1,968 1843%
United Teachers Assoc $1,968 1843%

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