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Hospital Profile Critical Access Hospitals Proprietary

Dequincy Memorial Hospital

110 W 4TH ST, Dequincy, LA 70633

CMS Overall Rating No CMS Rating
Factual Overview

Dequincy Memorial Hospital is a Critical Access Hospitals (Proprietary) operating in Dequincy, LA. Mapped commercial insurance prices across 69 procedures average 3.62x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: urban Bed Count: 19 Beds Teaching Status: Non-Teaching Annual Discharges: 76

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 99 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 69 codes Avg Markup vs Medicare: 3.62x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $898 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,155 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,408 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,763 Calc
CT scan, sinuses
CPT Code: 70486
 $1,507 Calc
X-ray, chest (single view)
CPT Code: 71045
 $106 Calc
X-ray, chest (two views)
CPT Code: 71046
 $155 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,248 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $164 Calc
X-ray, lower back
CPT Code: 72110
 $202 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,378 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,579 Calc
X-ray, pelvis
CPT Code: 72170
 $106 Calc
CT scan, pelvis
CPT Code: 72192
 $1,281 Calc
X-ray, shoulder
CPT Code: 73030
 $163 Calc
X-ray, hand
CPT Code: 73130
 $163 Calc
X-ray, hip
CPT Code: 73502
 $109 Calc
X-ray, ankle
CPT Code: 73610
 $163 Calc
X-ray, foot
CPT Code: 73630
 $163 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,463 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,116 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $395 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $434 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $395 Calc
Ultrasound, pelvis
CPT Code: 76856
 $659 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $50 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $144 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $97 Calc
Blood test, liver function panel
CPT Code: 80076
 $99 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $37 Calc
Blood test, amylase
CPT Code: 82150
 $58 Calc
Blood test, vitamin D
CPT Code: 82306
 $133 Calc
Blood test, calcium
CPT Code: 82310
 $33 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $33 Calc
Blood test, vitamin B12
CPT Code: 82607
 $44 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $46 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $37 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $62 Calc
Blood test, lipase
CPT Code: 83690
 $58 Calc
Blood test, magnesium
CPT Code: 83735
 $44 Calc
Blood test, potassium
CPT Code: 84132
 $33 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $50 Calc
Blood test, sodium
CPT Code: 84295
 $33 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $77 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $33 Calc
Blood test, hemoglobin
CPT Code: 85018
 $30 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $77 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $64 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $77 Calc
Hepatitis C antibody test
CPT Code: 86803
 $115 Calc
Blood antibody screen
CPT Code: 86850
 $89 Calc
Culture, blood
CPT Code: 87040
 $108 Calc
Culture, bacterial
CPT Code: 87070
 $77 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $154 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $177 Calc
Group therapy session
CPT Code: 90853
 $199 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $80 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,229 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $660 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $39 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 Contact Desk Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 Contact Desk Calc
Physical therapy (gait training)
CPT Code: 97116
 Contact Desk Calc
Physical therapy (manual therapy)
CPT Code: 97140
 Contact Desk Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 Contact Desk Calc
Occupational therapy (self-care training)
CPT Code: 97535
 Contact Desk Calc
Orthotic fitting and training
CPT Code: 97760
 Contact Desk Calc
Prosthetic fitting and training
CPT Code: 97761
 Contact Desk Calc