CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Dequincy Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $423
Cash Discount Price: $660
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Dequincy Memorial Hospital is $423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.74x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.

Cash / Self-Pay

$660

Average discount available for prompt cash payment at this facility.

Insurance Median

$423

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: $660 (271%)

Insurance Median: $423 (174%)

Cash: $660 (271% of Medicare)

Ins. Median: $423 (174% 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
Cigna	$51 - $942	21%
Aetna	$53 - $627	22%
Humana	$179 - $689	73%
Allegiance Hospice	$396	162%
Ambetter / Centene	$396	162%
Blue Advantage	$396	162%
Mcr Lagniappe	$396	162%
Medicare (plans)	$396	162%
Mutual Of Omaha	$396	162%
Peoples Health	$396	162%
Pro Care Advantage	$396	162%
Tricare	$396	162%
UnitedHealthcare	$396 - $627	162%
Vaccn	$396	162%
Wellcare	$396	162%
Blue Cross Blue Shield	$412 - $423	169%
Mc Vantage Health Plan	$566 - $613	232%
Gulf South Risk Service	$576	236%
Amerihealth Caritas La	$627	257%
Correct Care	$627	257%
Healthy Blue	$627	257%
Louisiana Health Connect	$627	257%
Medicaid / KanCare	$627 - $942	257%
Self Pay	$660	271%
Work Comp	$848	348%
Aarp Healthcare	$942	386%
Allegiance Home Health Sw	$942	386%
American Health Adv	$942	386%
Amfirst	$942	386%
Attorney	$942	386%
Bankers Life	$942	386%
Care Center Of Dequincy	$942	386%
Commerical	$942	386%
Harbor Hospice	$942	386%
High Hope Care Center	$942	386%
Medi-Share	$942	386%
Ppo Plus Lc	$942	386%
Rural Health Carriers	$942	386%
Tri Parish Rehab	$942	386%
United Teachers Assoc	$942	386%

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 $660.
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 Dequincy Memorial Hospital 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.