CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $218
Cash Discount Price: $512
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical West, An Affiliate of UAB Health System is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.89x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$512

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

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: $512 (210%)

Insurance Median: $218 (89%)

Cash: $512 (210% of Medicare)

Ins. Median: $218 (89% 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
Phcs	$20 - $931	8%
Beech Street	$21 - $931	9%
One Health Plan	$22 - $864	9%
Cigna	$23 - $962	9%
Aetna	$24 - $931	10%
Geha	$24 - $931	10%
Healthchoice	$24 - $931	10%
Alamed	$27 - $1,041	11%
Construction Claims Management	$28 - $1,076	11%
Corvel	$28 - $1,197	11%
Multiplan	$28 - $1,091	11%
Novanet	$28 - $1,111	11%
Humana	$29 - $1,130	12%
UnitedHealthcare	$29 - $714	12%
Department Of Labor	$30 - $1,157	12%
Heritage Summit Health	$30 - $1,157	12%
Pnoa	$31 - $1,197	13%
Three Rivers	$31 - $1,197	13%
Blue Cross Blue Shield	$216	89%
Cooper Green	$218	89%
Jefferson County Sheriff	$218	89%
Triwest	$218	89%
United Mine Workers	$218	89%
Viva	$251 - $665	103%
Ambetter / Centene	$300	123%

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 $512.
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 Medical West, An Affiliate of UAB Health System 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.