CMS Price Transparency Data

Culture, bacterial

Facility: Dequincy Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $46
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 5.34x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Dequincy Memorial Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 5.34x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $77 (893%)
Insurance Median: $46 (534%)
Cash: $77 (893% of Medicare)
Ins. Median: $46 (534% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 534% of the Medicare baseline (a markup of 434%). 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 $6 - $73 70%
Cigna $6 - $110 70%
Amerihealth Caritas La $9 - $73 104%
Correct Care $9 - $73 104%
Healthy Blue $9 - $73 104%
Humana $9 - $80 104%
Louisiana Health Connect $9 - $73 104%
Medicaid / KanCare $9 - $110 104%
UnitedHealthcare $9 - $73 104%
Blue Cross Blue Shield $15 - $16 174%
Allegiance Hospice $46 534%
Ambetter / Centene $46 534%
Blue Advantage $46 534%
Mcr Lagniappe $46 534%
Medicare (plans) $46 534%
Mutual Of Omaha $46 534%
Peoples Health $46 534%
Pro Care Advantage $46 534%
Tricare $46 534%
Vaccn $46 534%
Wellcare $46 534%
Mc Vantage Health Plan $66 - $72 766%
Gulf South Risk Service $67 777%
Self Pay $77 893%
Work Comp $99 1148%
Aarp Healthcare $110 1276%
Allegiance Home Health Sw $110 1276%
American Health Adv $110 1276%
Amfirst $110 1276%
Attorney $110 1276%
Bankers Life $110 1276%
Care Center Of Dequincy $110 1276%
Commerical $110 1276%
Harbor Hospice $110 1276%
High Hope Care Center $110 1276%
Medi-Share $110 1276%
Ppo Plus Lc $110 1276%
Rural Health Carriers $110 1276%
Tri Parish Rehab $110 1276%
United Teachers Assoc $110 1276%

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