CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Dequincy Memorial Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $146
  • Cash Discount Price: $154
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Dequincy Memorial Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$154

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $154 (85%)
Insurance Median: $146 (81%)
Cash: $154 (85% of Medicare)
Ins. Median: $146 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 $92 - $146 51%
Allegiance Hospice $92 51%
Ambetter / Centene $92 51%
Blue Advantage $92 51%
Cigna $92 - $220 51%
Mcr Lagniappe $92 51%
Medicare (plans) $92 51%
Mutual Of Omaha $92 51%
Peoples Health $92 51%
Pro Care Advantage $92 51%
Tricare $92 51%
UnitedHealthcare $92 - $146 51%
Vaccn $92 51%
Wellcare $92 51%
Humana $93 - $161 51%
Mc Vantage Health Plan $132 - $143 73%
Gulf South Risk Service $134 74%
Amerihealth Caritas La $146 81%
Correct Care $146 81%
Healthy Blue $146 81%
Louisiana Health Connect $146 81%
Medicaid / KanCare $146 - $220 81%
Self Pay $154 85%
Work Comp $198 109%
Aarp Healthcare $220 121%
Allegiance Home Health Sw $220 121%
American Health Adv $220 121%
Amfirst $220 121%
Attorney $220 121%
Bankers Life $220 121%
Care Center Of Dequincy $220 121%
Commerical $220 121%
Harbor Hospice $220 121%
High Hope Care Center $220 121%
Medi-Share $220 121%
Ppo Plus Lc $220 121%
Rural Health Carriers $220 121%
Tri Parish Rehab $220 121%
United Teachers Assoc $220 121%
Blue Cross Blue Shield $232 - $238 128%

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