CMS Price Transparency Data

X-ray, lower back

Facility: Dequincy Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $192
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Dequincy Memorial Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.80x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $202 (189%)
Insurance Median: $192 (180%)
Cash: $202 (189% of Medicare)
Ins. Median: $192 (180% 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.

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 $16 - $192 15%
Cigna $16 - $288 15%
Humana $46 - $211 43%
Allegiance Hospice $121 113%
Ambetter / Centene $121 113%
Blue Advantage $121 113%
Mcr Lagniappe $121 113%
Medicare (plans) $121 113%
Mutual Of Omaha $121 113%
Peoples Health $121 113%
Pro Care Advantage $121 113%
Tricare $121 113%
UnitedHealthcare $121 - $192 113%
Vaccn $121 113%
Wellcare $121 113%
Mc Vantage Health Plan $173 - $188 162%
Gulf South Risk Service $176 165%
Amerihealth Caritas La $192 180%
Correct Care $192 180%
Healthy Blue $192 180%
Louisiana Health Connect $192 180%
Medicaid / KanCare $192 - $288 180%
Blue Cross Blue Shield $198 - $203 185%
Self Pay $202 189%
Work Comp $260 243%
Aarp Healthcare $288 270%
Allegiance Home Health Sw $288 270%
American Health Adv $288 270%
Amfirst $288 270%
Attorney $288 270%
Bankers Life $288 270%
Care Center Of Dequincy $288 270%
Commerical $288 270%
Harbor Hospice $288 270%
High Hope Care Center $288 270%
Medi-Share $288 270%
Ppo Plus Lc $288 270%
Rural Health Carriers $288 270%
Tri Parish Rehab $288 270%
United Teachers Assoc $288 270%

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