CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Avoyelles Hospital
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $1,875
- Cash Discount Price: $619
- vs. Medicare Baseline: 7.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Avoyelles Hospital is $1,875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $619. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.69x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$619
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,875
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: $619 (254%)
Insurance Median: $1,875 (769%)
Cash: $619 (254% of Medicare)
Ins. Median: $1,875 (769% 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 769% of the Medicare baseline (a markup of 669%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $238 - $1,265 | 98% |
| Amer Contl Ins | $238 - $1,265 | 98% |
| Coventry | $238 - $1,265 | 98% |
| First Choice Health | $238 - $1,265 | 98% |
| Meritan Health | $238 - $2,250 | 98% |
| Blue Cross Blue Shield | $365 | 150% |
| Ofc Of Grp Bene | $365 | 150% |
| Cigna | $390 - $1,269 | 160% |
| Correct Cr Int Hlt | $390 - $468 | 160% |
| Mcd Amerihealth Caritas | $390 - $468 | 160% |
| Mcd Healthy Blue | $390 - $468 | 160% |
| Mcd La Hc Conn | $390 - $468 | 160% |
| Medicaid / KanCare | $390 - $468 | 160% |
| UnitedHealthcare | $390 - $468 | 160% |
| Mcd Ms | $429 - $515 | 176% |
| Student Assurances | $562 - $2,250 | 231% |
| Humana | $675 - $1,276 | 277% |
| Ppo Plus Llc | $1,125 - $1,350 | 462% |
| Zelis Healthcare Bpa | $1,125 - $1,350 | 462% |
| Gilsbar | $1,181 - $1,418 | 484% |
| Amerind | $1,688 - $2,025 | 692% |
| Applied Underwriters | $1,688 - $2,025 | 692% |
| Sedgwick | $1,688 - $2,025 | 692% |
| Us Dept Of Labor | $1,688 - $2,025 | 692% |
| Wc Clms Admin Svcs | $1,688 - $2,025 | 692% |
| Wc Clms Mgmnt Walmart | $1,688 - $2,025 | 692% |
| Wc Esis | $1,688 - $2,025 | 692% |
| Wc Fara | $1,688 - $2,025 | 692% |
| Wc Gallagher Bassett | $1,688 - $2,025 | 692% |
| Wc Guide One | $1,688 - $2,025 | 692% |
| Wc Hartford Med | $1,688 - $2,025 | 692% |
| Wc Luba | $1,688 - $2,025 | 692% |
| Wc Lwcc | $1,688 - $2,025 | 692% |
| Wc Paragon Casino Resort | $1,688 - $2,025 | 692% |
| Wc Risk Mgmnt | $1,688 - $2,025 | 692% |
| Wc Stone Trust | $1,688 - $2,025 | 692% |
| Wc Summit Consulting Hold | $1,688 - $2,025 | 692% |
| Wc Travelers Ins | $1,688 - $2,025 | 692% |
| Wc Trs Workers Comp Claim | $1,688 - $2,025 | 692% |
| Wc Us Dol | $1,688 - $2,025 | 692% |
| Wc Zurich | $1,688 - $2,025 | 692% |
| Aarp | $1,875 - $2,250 | 769% |
| Admin Concepts | $1,875 - $2,250 | 769% |
| All Saints Hospice | $1,875 - $2,250 | 769% |
| All State | $1,875 - $2,250 | 769% |
| Allegiance Health Hospice | $1,875 - $2,250 | 769% |
| Allied Natl | $1,875 - $2,250 | 769% |
| Amfirst | $1,875 - $2,250 | 769% |
| Avoy Parish School Board | $1,875 - $2,250 | 769% |
| Avoyelles Parish Sheriff | $1,875 - $2,250 | 769% |
| Bollinger | $1,875 - $2,250 | 769% |
| Ccmsi | $1,875 - $2,250 | 769% |
| Central States | $1,875 - $2,250 | 769% |
| Christus Health Plan | $1,875 - $2,250 | 769% |
| Compassionate Care Hospic | $1,875 - $2,250 | 769% |
| Core Source | $1,875 - $2,250 | 769% |
| Coushatta Hlth Dept | $1,875 - $2,250 | 769% |
| Ebms | $1,875 - $2,250 | 769% |
| Federated Ins | $1,875 - $2,250 | 769% |
| Feedom Life | $1,875 - $2,250 | 769% |
| Fidelity Standard Life Co | $1,875 - $2,250 | 769% |
| Fox Everette | $1,875 - $2,250 | 769% |
| Guarantee Trust | $1,875 - $2,250 | 769% |
| Heart Of Hospice | $1,875 - $2,250 | 769% |
| Hos Christus Hospice | $1,875 - $2,250 | 769% |
| Hos Guardian Hospice Care | $1,875 - $2,250 | 769% |
| Hos Harbor Hospice Alex | $1,875 - $2,250 | 769% |
| Hos La Hospice Palliative | $1,875 - $2,250 | 769% |
| Hos Passages Hospice N. | $1,875 - $2,250 | 769% |
| Hos St Joseph Hospice | $1,875 - $2,250 | 769% |
| Hospice Miscellaneous | $1,875 - $2,250 | 769% |
| Ins Mgmnt Admin | $1,875 - $2,250 | 769% |
| Ins Tpa | $1,875 - $2,250 | 769% |
| Liberty Health Share | $1,875 - $2,250 | 769% |
| Lumico | $1,875 - $2,250 | 769% |
| Manhattan Life Ins | $1,875 - $2,250 | 769% |
| Medi Share | $1,875 - $2,250 | 769% |
| Misc Comm | $1,875 - $2,250 | 769% |
| Nalc | $1,875 - $2,250 | 769% |
| New Era Life | $1,875 - $2,250 | 769% |
| North American | $1,875 - $2,250 | 769% |
| Phcs | $1,875 - $2,250 | 769% |
| Physicians Mutual | $1,875 - $2,250 | 769% |
| Pipeline Ind Bene | $1,875 - $2,250 | 769% |
| Progressive Auto | $1,875 - $2,250 | 769% |
| Reliance Standard Life | $1,875 - $2,250 | 769% |
| Rural Carriers | $1,875 - $2,250 | 769% |
| Shelter Ins Co | $1,875 - $2,250 | 769% |
| Sierre Health And Life | $1,875 - $2,250 | 769% |
| State Farm | $1,875 - $2,250 | 769% |
| State Mutual | $1,875 - $2,250 | 769% |
| Sterling Investors | $1,875 - $2,250 | 769% |
| The Health Plan | $1,875 - $2,250 | 769% |
| Tribal Hlth Partners | $1,875 - $2,250 | 769% |
| Tricare | $1,875 - $2,250 | 769% |
| Trustmark Health Benefits | $1,875 - $2,250 | 769% |
| Tunica Biloxi | $1,875 - $2,250 | 769% |
| Uct | $1,875 - $2,250 | 769% |
| Unified Life | $1,875 - $2,250 | 769% |
| Usaa Life Ins | $1,875 - $2,250 | 769% |
| Web-Tpa | $1,875 - $2,250 | 769% |
| Woodmen Of The World | $1,875 - $2,250 | 769% |