CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $427
Cash Discount Price: $528
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ochsner Stennis Memorial Hospital is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $528. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.75x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$528

Average discount available for prompt cash payment at this facility.

Insurance Median

$427

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: $528 (217%)

Insurance Median: $427 (175%)

Cash: $528 (217% of Medicare)

Ins. Median: $427 (175% 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
Prime Health Services Ppo -Workers Comp	$55 - $309	23%
Cor Vel	$56 - $316	23%
Humana	$130 - $491	53%
Cigna	$156 - $491	64%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$156 - $496	64%
Medicaid / KanCare	$156 - $191	64%
Medicare (plans)	$156 - $564	64%
UnitedHealthcare	$156 - $417	64%
Shared Health Mississippi	$163 - $515	67%
Prime Health Services Ppo	$179 - $654	73%
Ambetter / Centene	$218 - $496	89%
Blue Cross Blue Shield	$243 - $704	100%
Primewell Health Services Commercial Exchange Plan	$252 - $548	103%
Primewell Health Services – Commercial	$252 - $548	103%
Aetna	$257 - $318	105%
Select Administrative Services Network	$398 - $896	163%
Zelis	$494 - $614	203%
Claritev D/B/A Multiplan/Phcs/American Life Care	$533 - $890	219%

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 $528.
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 Stennis 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.