CMS Price Transparency Data

Ultrasound, pelvis

Facility: Dequincy Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $399
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 3.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Dequincy Memorial Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.74x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$659

Average discount available for prompt cash payment at this facility.

Insurance Median
$399

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $659 (617%)
Insurance Median: $399 (374%)
Cash: $659 (617% of Medicare)
Ins. Median: $399 (374% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 374% of the Medicare baseline (a markup of 274%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Cigna $51 - $942 48%
Aetna $53 - $626 50%
Humana $102 - $688 95%
Blue Cross Blue Shield $198 - $203 185%
Allegiance Hospice $395 370%
Ambetter / Centene $395 370%
Blue Advantage $395 370%
Mcr Lagniappe $395 370%
Medicare (plans) $395 370%
Mutual Of Omaha $395 370%
Peoples Health $395 370%
Pro Care Advantage $395 370%
Tricare $395 370%
UnitedHealthcare $395 - $626 370%
Vaccn $395 370%
Wellcare $395 370%
Mc Vantage Health Plan $565 - $612 529%
Gulf South Risk Service $575 538%
Amerihealth Caritas La $626 586%
Correct Care $626 586%
Healthy Blue $626 586%
Louisiana Health Connect $626 586%
Medicaid / KanCare $626 - $942 586%
Self Pay $659 617%
Work Comp $847 793%
Aarp Healthcare $942 882%
Allegiance Home Health Sw $942 882%
American Health Adv $942 882%
Amfirst $942 882%
Attorney $942 882%
Bankers Life $942 882%
Care Center Of Dequincy $942 882%
Commerical $942 882%
Harbor Hospice $942 882%
High Hope Care Center $942 882%
Medi-Share $942 882%
Ppo Plus Lc $942 882%
Rural Health Carriers $942 882%
Tri Parish Rehab $942 882%
United Teachers Assoc $942 882%

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