CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: USA Health University Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $230
  • Cash Discount Price: $588
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at USA Health University Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $588. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 2451 Fillingim Street, Mobile, AL.
Cash / Self-Pay
$588

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $588 (241%)
Insurance Median: $230 (94%)
Cash: $588 (241% of Medicare)
Ins. Median: $230 (94% 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.

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
Blue Cross Blue Shield $180 74%
Magnolia Health $182 75%
Truecare $182 75%
UnitedHealthcare $182 - $318 75%
Aetna $184 - $323 75%
Cigna $184 - $280 75%
Devoted Health $184 - $412 75%
Humana $184 - $382 75%
Viva Health $184 - $294 75%
Wellcare $184 75%
Molina Chip $200 82%
Molina Marketplace $202 83%
Ambetter / Centene $221 91%
Central Healthcare Services $238 - $294 98%
Mississippi Physicians Care Network (Mpcn) $248 102%
Multiplan $382 - $529 157%
Naphcare $412 169%
Novanet $529 217%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2451 Fillingim Street, Mobile, AL 36617
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals