CMS Price Transparency Data

Prosthetic fitting and training

Facility: Dequincy Memorial Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $46
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Dequincy Memorial Hospital is $46. 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 $40.41, this hospital’s rate is 1.14x 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
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Insurance Median: $46 (114%)
Ins. Median: $46 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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 12%
Cigna $5 - $95 12%
Amerihealth Caritas La $20 - $63 49%
Correct Care $20 - $63 49%
Healthy Blue $20 - $63 49%
Louisiana Health Connect $20 - $63 49%
Medicaid / KanCare $20 - $95 49%
UnitedHealthcare $20 - $63 49%
Humana $22 - $69 54%
Allegiance Hospice $37 - $40 92%
Ambetter / Centene $37 - $40 92%
Blue Advantage $37 - $40 92%
Mcr Lagniappe $37 - $40 92%
Medicare (plans) $37 - $40 92%
Mutual Of Omaha $37 - $40 92%
Peoples Health $37 - $40 92%
Pro Care Advantage $37 - $40 92%
Tricare $37 - $40 92%
Vaccn $37 - $40 92%
Wellcare $37 - $40 92%
Mc Vantage Health Plan $52 - $62 129%
Gulf South Risk Service $53 - $58 131%
Self Pay $61 - $66 151%
Blue Cross Blue Shield $71 - $73 176%
Work Comp $79 - $86 195%
Aarp Healthcare $88 - $95 218%
Allegiance Home Health Sw $88 - $95 218%
American Health Adv $88 - $95 218%
Amfirst $88 - $95 218%
Attorney $88 - $95 218%
Bankers Life $88 - $95 218%
Care Center Of Dequincy $88 - $95 218%
Commerical $88 - $95 218%
Harbor Hospice $88 - $95 218%
High Hope Care Center $88 - $95 218%
Medi-Share $88 - $95 218%
Ppo Plus Lc $88 - $95 218%
Rural Health Carriers $88 - $95 218%
Tri Parish Rehab $88 - $95 218%
United Teachers Assoc $88 - $95 218%

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