CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner St Mary

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $330
  • Cash Discount Price: $520
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner St Mary is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.35x the Medicare baseline. Located in 1125 Marguerite Street, Morgan City, LA.
Cash / Self-Pay
$520

Average discount available for prompt cash payment at this facility.

Insurance Median
$330

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: $520 (213%)
Insurance Median: $330 (135%)
Cash: $520 (213% of Medicare)
Ins. Median: $330 (135% 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
Tricare $93 - $236 38%
Aetna $220 - $2,218 90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $220 90%
Blue Cross Blue Shield $220 - $558 90%
Healthy Blue Dual Advantage (Hmo-D-Snp) $220 90%
Humana $220 - $329 90%
Medicare (plans) $220 90%
Ochsner Health Plan $220 90%
UnitedHealthcare $220 - $453 90%
Healthy Blue (Healthy Louisiana) $329 135%
Louisiana Healthcare Connections (Healthy Louisiana) $329 135%
Zelis $331 136%
Amerihealth Caritas Louisiana (Healthy Louisiana) $339 139%
Verity Commercial And First Choice Network $1,405 576%
Claritev D/B/A Multiplan/Phcs/American Life Care $1,509 619%
First Health Network $1,743 715%
Healthcomp & Personify Health (Formerly Gilsbar) $1,821 747%
Cigna $1,972 809%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1125 Marguerite Street, Morgan City, LA 70380
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals