CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner St Martin Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $273
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner St Martin Hospital is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 210 Champagne Boulevard, Breaux Bridge, LA.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$273

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: $226 (93%)
Insurance Median: $273 (112%)
Cash: $226 (93% of Medicare)
Ins. Median: $273 (112% 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
Aetna $166 - $686 68%
Blue Cross Blue Shield $166 - $665 68%
Healthy Blue Dual Advantage (Hmo-D-Snp) $166 68%
Humana $166 - $273 68%
Medicare (plans) $166 68%
Ochsner Health Plan $166 68%
UnitedHealthcare $166 - $273 68%
Wellcare Of Louisiana $166 68%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $171 70%
Tricare $192 79%
Verity Commercial And First Choice Network $264 108%
Amerihealth Caritas Louisiana (Healthy Louisiana) $273 112%
Healthy Blue (Healthy Louisiana) $273 112%
Louisiana Healthcare Connections (Healthy Louisiana) $273 112%
Zelis $528 217%
Cigna $641 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 Champagne Boulevard, Breaux Bridge, LA 70517
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals