CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Lake Charles Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $214
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Lake Charles Memorial Hospital is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.88x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $440 (180%)
Insurance Median: $214 (88%)
Cash: $440 (180% of Medicare)
Ins. Median: $214 (88% 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 $115 - $752 47%
Medicaid / KanCare $115 - $126 47%
Blue Cross Blue Shield $212 87%
Champus_Va $212 87%
Cigna $212 - $551 87%
Medicare (plans) $212 87%
Tricare $212 87%
Veterans_Administration $212 87%
Veterans_Choice-Triwest $212 87%
Humana $217 - $743 89%
Meritain $330 135%
United_Healthcare $334 137%
Verity $352 144%
Coushatta_Tribe_Dept_Of_Health $382 157%
Ppo_Plus_ $440 180%
Blue_Cross_Blue_Shield_La $474 194%
Vantage_Commercial $488 200%
Phcs $514 211%
United_Healthcare_Behavorial_Health $514 211%
Lwcc $562 231%
First_Health $587 241%
Workers_Compensation $661 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals