CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Dequincy Memorial Hospital

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $60
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Dequincy Memorial Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.83x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Insurance Median: $60 (183%)
Ins. Median: $60 (183% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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 $5 - $63 15%
Cigna $5 - $95 15%
Humana $33 - $69 101%
Allegiance Hospice $40 122%
Ambetter / Centene $40 122%
Blue Advantage $40 122%
Mcr Lagniappe $40 122%
Medicare (plans) $40 122%
Mutual Of Omaha $40 122%
Peoples Health $40 122%
Pro Care Advantage $40 122%
Tricare $40 122%
UnitedHealthcare $40 - $63 122%
Vaccn $40 122%
Wellcare $40 122%
Mc Vantage Health Plan $57 - $62 174%
Gulf South Risk Service $58 177%
Blue Cross Blue Shield $60 - $62 183%
Amerihealth Caritas La $63 192%
Correct Care $63 192%
Healthy Blue $63 192%
Louisiana Health Connect $63 192%
Medicaid / KanCare $63 - $95 192%
Self Pay $66 202%
Work Comp $86 263%
Aarp Healthcare $95 290%
Allegiance Home Health Sw $95 290%
American Health Adv $95 290%
Amfirst $95 290%
Attorney $95 290%
Bankers Life $95 290%
Care Center Of Dequincy $95 290%
Commerical $95 290%
Harbor Hospice $95 290%
High Hope Care Center $95 290%
Medi-Share $95 290%
Ppo Plus Lc $95 290%
Rural Health Carriers $95 290%
Tri Parish Rehab $95 290%
United Teachers Assoc $95 290%

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