CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Rapides Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,282
  • Cash Discount Price: $2,418
  • vs. Medicare Baseline: 5.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Rapides Regional Medical Center is $1,282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,418. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.26x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.
Cash / Self-Pay
$2,418

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,282

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: $2,418 (992%)
Insurance Median: $1,282 (526%)
Cash: $2,418 (992% of Medicare)
Ins. Median: $1,282 (526% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 526% of the Medicare baseline (a markup of 426%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $503 206%
United $542 222%
Verity $725 297%
Cigna $757 311%
Humana $798 - $1,814 327%
Ppo Plus $919 377%
Louisiana Workers Compensation Corporation $1,185 486%
Gilsbar 360 $1,282 526%
Multiplan $1,311 - $1,405 538%
Dma Regional Ppo $1,693 695%
Employers Health Network $1,693 695%
First Health $1,693 695%
Healthsouth Corporation $1,693 695%
Plan Vista Solutions (Nppn) $1,886 774%
Bestcomp $1,959 804%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 4Th Street, Alexandria, LA 71301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals