CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Dequincy Memorial Hospital

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $40
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Dequincy Memorial Hospital is $40. 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 $29.06, this hospital’s rate is 1.38x 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
$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Insurance Median: $40 (138%)
Ins. Median: $40 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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 17%
Cigna $5 - $95 17%
Amerihealth Caritas La $11 - $63 38%
Correct Care $11 - $63 38%
Healthy Blue $11 - $63 38%
Louisiana Health Connect $11 - $63 38%
Medicaid / KanCare $11 - $95 38%
UnitedHealthcare $11 - $63 38%
Humana $12 - $69 41%
Allegiance Hospice $40 138%
Ambetter / Centene $40 138%
Blue Advantage $40 138%
Mcr Lagniappe $40 138%
Medicare (plans) $40 138%
Mutual Of Omaha $40 138%
Peoples Health $40 138%
Pro Care Advantage $40 138%
Tricare $40 138%
Vaccn $40 138%
Wellcare $40 138%
Blue Cross Blue Shield $53 - $54 182%
Mc Vantage Health Plan $57 - $62 196%
Gulf South Risk Service $58 200%
Self Pay $66 227%
Work Comp $86 296%
Aarp Healthcare $95 327%
Allegiance Home Health Sw $95 327%
American Health Adv $95 327%
Amfirst $95 327%
Attorney $95 327%
Bankers Life $95 327%
Care Center Of Dequincy $95 327%
Commerical $95 327%
Harbor Hospice $95 327%
High Hope Care Center $95 327%
Medi-Share $95 327%
Ppo Plus Lc $95 327%
Rural Health Carriers $95 327%
Tri Parish Rehab $95 327%
United Teachers Assoc $95 327%

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