CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: University of Alabama Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,833
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.52x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at University of Alabama Hospital is $1,833. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.52x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,833

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%)
Insurance Median: $1,833 (752%)
Ins. Median: $1,833 (752% 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 752% of the Medicare baseline (a markup of 652%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Viva $169 - $219 69%
Humana $199 - $1,947 82%
Birmingham Fc $216 89%
Blue Cross Blue Shield $216 89%
Cooper Green $216 89%
Davita Villagehealth $216 89%
Jefferson County Sheriff $216 89%
Triwest $216 89%
UnitedHealthcare $216 - $2,040 89%
Cigna $232 - $1,535 95%
Ambetter / Centene $298 122%
University Of Alabama $1,146 470%
Aetna $1,398 573%
Coventry $1,489 - $1,850 611%
North Alabama Managed Care $1,489 611%
Comp One $1,650 677%
Construction Claims Management $1,714 703%
Alamed $1,718 705%
Corvel $1,833 752%
Evolutions $1,833 - $2,062 752%
Healthcare Alliance $1,833 752%
Novanet $1,833 - $2,062 752%
Prime Health Services $1,833 - $2,062 752%
Select Value Care $1,833 752%
Starcare $1,833 752%
Tethys $1,833 752%
Multiplan $1,879 771%
Department Of Labor $1,947 799%
Geha $1,947 799%
Gulf Health Plans $1,947 799%
Heritage Summit Health $1,947 799%
Mississippi Physicians $1,947 799%
Phifer $1,947 799%
Preferred Health Partnership $1,947 799%
Southern Nuclear $1,947 799%
Vantage Health Plan $1,947 799%
Galaxy Health Network $2,062 846%
National Provider Network $2,062 846%
North Mississippi Health Link $2,062 846%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals