CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mat-Su Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $2,410
  • Cash Discount Price: $1,227
  • vs. Medicare Baseline: 9.89x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mat-Su Regional Medical Center is $2,410. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,227. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.89x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$1,227

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,410

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: $1,227 (503%)
Insurance Median: $2,410 (989%)
Cash: $1,227 (503% of Medicare)
Ins. Median: $2,410 (989% 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 989% of the Medicare baseline (a markup of 889%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Veterans Eval Services $260 107%
Medicare (plans) $279 114%
Node Champva $279 114%
Tricare $279 114%
Node Non Par Hospice Agree $284 117%
Node Triwest $284 117%
Node Va $284 117%
Medicaid / KanCare $327 - $332 134%
Node Us Dept Of Labor $354 145%
Self Pay $915 - $1,548 375%
Aetna $1,020 418%
Ak Dept Of Corrections $1,678 - $1,703 688%
Blue Cross Blue Shield $1,711 - $1,889 702%
Hccmca $1,830 - $1,858 751%
Multiplan Phcs $2,318 - $2,354 951%
Moda Assurance $2,410 - $2,447 989%
Cigna $2,416 - $2,453 991%
Carlie Trans Grp $2,592 - $2,632 1063%
UnitedHealthcare $2,592 - $2,632 1063%
First Choice Health $2,745 - $2,787 1126%
Multiplan Mpi $2,776 - $2,818 1139%
Plan Vista Solutions $2,836 - $2,880 1163%
Multiplan Wc $2,898 - $2,942 1189%
One Health $2,898 - $2,942 1189%
First Health Group $2,928 - $2,973 1201%
Medical Control Network Solutions $2,928 - $2,973 1201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals