CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: St Charles Parish Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $448
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at St Charles Parish Hospital is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.84x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $266 (109%)
Insurance Median: $448 (184%)
Cash: $266 (109% of Medicare)
Ins. Median: $448 (184% 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 $87 - $211 36%
Medicaid / KanCare $182 75%
Aetna $222 - $859 91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $222 91%
Blue Cross Blue Shield $222 - $415 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $222 91%
Humana $222 - $448 91%
Medicare (plans) $222 91%
Ochsner Health Plan $222 91%
UnitedHealthcare $222 - $867 91%
Amerihealth Caritas Louisiana (Healthy Louisiana) $448 184%
Healthy Blue (Healthy Louisiana) $448 184%
Louisiana Healthcare Connections (Healthy Louisiana) $448 184%
Zelis $592 243%
Cigna $620 254%
Galaxy Health Network Ppo $740 304%
Galaxy Health Network Wc $740 304%
Louisiana Workers' Compensation Corporation (Lwcc) $740 304%
Healthcomp & Personify Health (Formerly Gilsbar) $760 312%
Claritev D/B/A Multiplan/Phcs/American Life Care $790 324%
First Health Network $839 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1057 Paul Maillard Road, Luling, LA 70070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals