CMS Price Transparency Data

Group therapy session

Facility: Dequincy Memorial Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $166
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Dequincy Memorial Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.60x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $199 (192%)
Insurance Median: $166 (160%)
Cash: $199 (192% of Medicare)
Ins. Median: $166 (160% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 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.

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 $14 - $210 13%
Cigna $14 - $316 13%
Humana $24 - $231 23%
Allegiance Hospice $106 - $133 102%
Ambetter / Centene $106 - $133 102%
Blue Advantage $106 - $133 102%
Mcr Lagniappe $106 - $133 102%
Medicare (plans) $106 - $133 102%
Mutual Of Omaha $106 - $133 102%
Peoples Health $106 - $133 102%
Pro Care Advantage $106 - $133 102%
Tricare $106 - $133 102%
UnitedHealthcare $106 - $210 102%
Vaccn $106 - $133 102%
Wellcare $106 - $133 102%
Blue Cross Blue Shield $139 - $142 134%
Mc Vantage Health Plan $152 - $206 146%
Gulf South Risk Service $155 - $193 149%
Amerihealth Caritas La $168 - $210 162%
Correct Care $168 - $210 162%
Healthy Blue $168 - $210 162%
Louisiana Health Connect $168 - $210 162%
Medicaid / KanCare $168 - $316 162%
Self Pay $177 - $222 171%
Work Comp $228 - $285 220%
Aarp Healthcare $253 - $316 244%
Allegiance Home Health Sw $253 - $316 244%
American Health Adv $253 - $316 244%
Amfirst $253 - $316 244%
Attorney $253 - $316 244%
Bankers Life $253 - $316 244%
Care Center Of Dequincy $253 - $316 244%
Commerical $253 - $316 244%
Harbor Hospice $253 - $316 244%
High Hope Care Center $253 - $316 244%
Medi-Share $253 - $316 244%
Ppo Plus Lc $253 - $316 244%
Rural Health Carriers $253 - $316 244%
Tri Parish Rehab $253 - $316 244%
United Teachers Assoc $253 - $316 244%

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