CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Northern Louisiana Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $2,316
  • Cash Discount Price: $1,274
  • vs. Medicare Baseline: 9.50x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Northern Louisiana Medical Center is $2,316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,274. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.50x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$1,274

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,316

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: $1,274 (523%)
Insurance Median: $2,316 (950%)
Cash: $1,274 (523% of Medicare)
Ins. Median: $2,316 (950% 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 950% of the Medicare baseline (a markup of 850%). 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
UnitedHealthcare $173 - $1,392 71%
Aetna $281 - $1,390 115%
Blue Cross Blue Shield $331 - $469 136%
Medicaid / KanCare $331 - $2,316 136%
Humana $364 149%
Golden Rule Ins $866 - $1,392 355%
Verity Healthnet $1,135 466%
Cigna $1,158 475%
Kaiser Permanente $1,158 475%
Gilsbar $1,274 523%
Self Pay $1,274 523%
First Health $1,600 - $1,969 656%
Geha $1,853 - $2,200 760%
Multiplan $1,969 808%
Phcs $1,969 808%
Work Comp City Of Ruston $2,084 855%
Work Comp First Health $2,084 855%
Work Comp Nlmc Emp $2,084 855%
Workers Compensation $2,084 855%
Aarp $2,316 950%
Aflc American Family Life $2,316 950%
American Life Accident $2,316 950%
Apwu Health Plan $2,316 950%
Bankers Life And Casualty $2,316 950%
Benefit Trust Life $2,316 950%
Crime Victims Compensatio $2,316 950%
Equitable $2,316 950%
Fox Everett Inc $2,316 950%
Gmp Employers Retiree Tru $2,316 950%
Gsu Athletics $2,316 950%
Guarantee Trust Life Ins $2,316 950%
Healthfirst Tpa $2,316 950%
Hospice Of Caring Hearts $2,316 950%
Ima Insurance $2,316 950%
Industrial Accounts $2,316 950%
Liberty Healthshare $2,316 950%
Liberty Mutual Group $2,316 950%
Lifecare Specialty Hosp $2,316 950%
Lin Parish Detention $2,316 950%
Lincoln Kidney Center $2,316 950%
Ltu Athletics $2,316 950%
Ltu Student Ins Bollinger $2,316 950%
Mcr American Hlth Adv $2,316 950%
Misc Commercial $2,316 950%
Mva Insurance Payors $2,316 950%
Nalc Health Benefit Plan $2,316 950%
Nalc Natl Assoc Ltr Carri $2,316 950%
Newera $2,316 950%
Nlmc Community Services $2,316 950%
Physicians Mutual Ins $2,316 950%
Premier Hospice $2,316 950%
Principal Mutual Life Ins $2,316 950%
Protective Life Ins $2,316 950%
Ruston Regional Specialty $2,316 950%
Specialty Hosp Of Winnfie $2,316 950%
State Farm Insurance $2,316 950%
State Mutual Ins $2,316 950%
Sterling Investors Life $2,316 950%
The Hartford $2,316 950%
Union Bankers Insurance C $2,316 950%
Union Fidelity Life Ins $2,316 950%
United American $2,316 950%
United Teachers Ins $2,316 950%
Us Dept Of Labor $2,316 950%
Washington National Ins $2,316 950%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals