CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner Choctaw General

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $280
Cash Discount Price: $581
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner Choctaw General is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.15x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$581

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $581 (238%)

Insurance Median: $280 (115%)

Cash: $581 (238% of Medicare)

Ins. Median: $280 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$25 - $517	10%
Humana	$25 - $368	10%
Prime Health Services Ppo	$34 - $654	14%
Cigna	$44 - $450	18%
Primewell Health Services Commercial Exchange Plan	$52 - $548	21%
Primewell Health Services – Commercial	$52 - $548	21%
UnitedHealthcare	$53 - $450	22%
Aetna	$61 - $318	25%
Zelis	$75 - $614	31%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$158 - $368	65%
Medicaid / KanCare	$158 - $191	65%
Medicare (plans)	$158 - $423	65%
Prime Health Services Ppo -Workers Comp	$165 - $653	68%
Shared Health Mississippi	$166 - $386	68%
Cor Vel	$167 - $667	69%
Ambetter / Centene	$323 - $372	133%
Select Administrative Services Network	$398 - $896	163%
Claritev D/B/A Multiplan/Phcs/American Life Care	$533 - $890	219%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $581.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.