CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $288
Cash Discount Price: $947
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Surgical Specialty Center of Baton Rouge is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $947. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.18x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$947

Average discount available for prompt cash payment at this facility.

Insurance Median

$288

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: $947 (388%)

Insurance Median: $288 (118%)

Cash: $947 (388% of Medicare)

Ins. Median: $288 (118% 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
Aetna	$190 - $223	78%
Amerihealth	$190	78%
Healthy_Blue	$190	78%
Humana	$190 - $326	78%
Lhc	$190	78%
Medicaid / KanCare	$190	78%
United_Caid	$190	78%
Cigna	$209	86%
Blue Cross Blue Shield	$216 - $289	89%
Medadv-Peoples	$216	89%
Medicare (plans)	$216	89%
Tricare	$216	89%
UnitedHealthcare	$216	89%
Va	$218	89%
Wellcare	$227	93%
Lsufirst	$255	105%
Uhc_Commcoffee	$261	107%
Ehn	$269	110%
United	$288	118%
Lucent	$302	124%
Verity	$442	181%
Ambetter / Centene	$451	185%
Workcomp_Saints	$497	204%
Gilsbar	$619	254%
Multiplan-Pos	$758	311%
Multiplan-Ppo	$758	311%
Ppoplus	$770	316%
Stjude	$821	337%
Bayou-Med	$884	363%
Dma	$884	363%
Lsu	$884	363%
Southern-Univ	$884	363%
Womans_Hosp	$884	363%
Reny	$947	388%
Workcomp_3R	$1,023	420%
Three_Rivers	$1,074	441%
Workcomp_Strat	$1,074	441%
Geha	$1,111	456%
Workcomp_Fp	$1,137	466%
Usa_Mco	$1,187	487%

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 $947.
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 Surgical Specialty Center of 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.