CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $453
Cash Discount Price: $242
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner Medical Center - Baton Rouge is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.86x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$242

Average discount available for prompt cash payment at this facility.

Insurance Median

$453

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: $242 (99%)

Insurance Median: $453 (186%)

Cash: $242 (99% of Medicare)

Ins. Median: $453 (186% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Zelis	$25	10%
Humana	$148 - $222	61%
UnitedHealthcare	$148 - $928	61%
Healthy Blue (Healthy Louisiana)	$151	62%
Louisiana Healthcare Connections (Healthy Louisiana)	$151	62%
Aetna	$153 - $544	63%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$153	63%
Medicaid / KanCare	$182	75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$222	91%
Blue Cross Blue Shield	$222 - $618	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$222	91%
Medicare (plans)	$222	91%
Ochsner Health Plan	$222	91%
Tricare	$222	91%
Claritev D/B/A Multiplan/Phcs/American Life Care	$453	186%
Healthcomp & Personify Health (Formerly Gilsbar)	$453	186%
Louisiana Workers' Compensation Corporation (Lwcc)	$566	232%
Mississippi Physicians Care Network	$566	232%
First Health Network	$604	248%
Prime Health Services Ppo	$642	263%
Usa Managed Care Network	$642	263%
Cigna	$710	291%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $242.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center - Baton Rouge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.