CMS Price Transparency Data

CT scan, pelvis

Facility: Dequincy Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $776
  • Cash Discount Price: $1,281
  • vs. Medicare Baseline: 7.27x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Dequincy Memorial Hospital is $776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,281. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.27x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$1,281

Average discount available for prompt cash payment at this facility.

Insurance Median
$776

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: $1,281 (1199%)
Insurance Median: $776 (727%)
Cash: $1,281 (1199% of Medicare)
Ins. Median: $776 (727% 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 727% of the Medicare baseline (a markup of 627%). 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 $100 - $1,830 94%
Aetna $103 - $1,217 96%
Humana $133 - $1,339 125%
Blue Cross Blue Shield $198 - $203 185%
Allegiance Hospice $769 720%
Ambetter / Centene $769 720%
Blue Advantage $769 720%
Mcr Lagniappe $769 720%
Medicare (plans) $769 720%
Mutual Of Omaha $769 720%
Peoples Health $769 720%
Pro Care Advantage $769 720%
Tricare $769 720%
UnitedHealthcare $769 - $1,217 720%
Vaccn $769 720%
Wellcare $769 720%
Mc Vantage Health Plan $1,098 - $1,190 1028%
Gulf South Risk Service $1,118 1047%
Amerihealth Caritas La $1,217 1139%
Correct Care $1,217 1139%
Healthy Blue $1,217 1139%
Louisiana Health Connect $1,217 1139%
Medicaid / KanCare $1,217 - $1,830 1139%
Self Pay $1,281 1199%
Work Comp $1,647 1542%
Aarp Healthcare $1,830 1713%
Allegiance Home Health Sw $1,830 1713%
American Health Adv $1,830 1713%
Amfirst $1,830 1713%
Attorney $1,830 1713%
Bankers Life $1,830 1713%
Care Center Of Dequincy $1,830 1713%
Commerical $1,830 1713%
Harbor Hospice $1,830 1713%
High Hope Care Center $1,830 1713%
Medi-Share $1,830 1713%
Ppo Plus Lc $1,830 1713%
Rural Health Carriers $1,830 1713%
Tri Parish Rehab $1,830 1713%
United Teachers Assoc $1,830 1713%

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