CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Bienville Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $590
Cash Discount Price: $656
vs. Medicare Baseline: 2.42x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Bienville Medical Center is $590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $656. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.42x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$656

Average discount available for prompt cash payment at this facility.

Insurance Median

$590

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: $656 (269%)

Insurance Median: $590 (242%)

Cash: $656 (269% of Medicare)

Ins. Median: $590 (242% 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 242% of the Medicare baseline (a markup of 142%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$64 - $1,094	26%
Medicaid / KanCare	$64 - $642	26%
Mmd Amerihealth Caritas	$64 - $642	26%
Mmd Healthy Blue	$64 - $642	26%
Mmd La Hlth Conn	$64 - $642	26%
Mmd Misc	$64 - $642	26%
UnitedHealthcare	$64 - $642	26%
Cashiering	$437 - $656	179%
Cigna	$547	224%
Ambetter / Centene	$590	242%
Humana	$590 - $706	242%
Mcr American Hlth Adv	$590	242%
Medicare (plans)	$590	242%
Misc Mgd Care	$590 - $1,094	242%
Mmc Blue Advantage	$590	242%
Mmc Misc	$590	242%
Peoples Health Mcr Adv	$590	242%
Va Health	$590	242%
Blue Cross Blue Shield	$658	270%
Wc City Of Arcadia	$984	404%
Wc House Of Raeford	$984	404%
Wc Misc	$984	404%
Wc Stonetrust	$984	404%
Aarp	$1,094	449%
Allegiance Health Managme	$1,094	449%
Amfirst	$1,094	449%
Apwu	$1,094	449%
Liberty Mutual	$1,094	449%
Misc Comm A-L	$1,094	449%
Misc Comm M-Z	$1,094	449%
Tricare	$1,094	449%

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 $656.
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 Bienville Medical Center 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.