CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner Lafayette General Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $220
  • Cash Discount Price: $286
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner Lafayette General Medical Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.90x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.
Cash / Self-Pay
$286

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $286 (117%)
Insurance Median: $220 (90%)
Cash: $286 (117% of Medicare)
Ins. Median: $220 (90% 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.

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 $166 - $808 68%
Amerihealth Caritas Louisiana (Healthy Louisiana) $166 68%
Healthy Blue (Healthy Louisiana) $166 68%
Humana $166 - $220 68%
Louisiana Healthcare Connections (Healthy Louisiana) $166 68%
UnitedHealthcare $166 - $1,125 68%
Blue Cross Blue Shield $220 - $725 90%
Cigna $220 - $658 90%
Healthy Blue Dual Advantage (Hmo-D-Snp) $220 90%
Medicare (plans) $220 90%
Ochsner Health Plan $220 90%
Tricare $220 90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $226 93%
Wellcare Of Louisiana $231 95%
Verity Commercial And First Choice Network $735 302%
Zelis $817 335%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1214 Coolidge Avenue, Lafayette, LA 70503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals