CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Crestwood Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,678
  • Cash Discount Price: $705
  • vs. Medicare Baseline: 6.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Crestwood Medical Center is $1,678. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $705. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.88x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$705

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,678

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: $705 (289%)
Insurance Median: $1,678 (688%)
Cash: $705 (289% of Medicare)
Ins. Median: $1,678 (688% 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 688% of the Medicare baseline (a markup of 588%). 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
Medicaid / KanCare $95 39%
Tricare $205 84%
Cigna $208 - $217 85%
Veterans Eval Services $210 86%
Blue Cross Blue Shield $213 - $250 87%
Humana $213 87%
Medicare (plans) $213 87%
Node Windsor Mcr Adv $213 87%
UnitedHealthcare $213 - $853 87%
Viva Health $213 87%
Node Select Health Mcr Adv $215 88%
Alacare Hospice $216 89%
Hospice $216 89%
Node Champva $216 89%
Node Va $216 89%
Node Devoted Health Mcr Adv $217 89%
Node Clover Health Mcr Adv $218 89%
Aetna $219 - $1,824 90%
Node Wellcare Mcr Adv $221 91%
Node Prime Health Mcr Adv $228 94%
Node Us Dept Of Labor $268 110%
Occunet $270 111%
Ambetter / Centene $324 133%
Self Pay $604 - $822 248%
American Employee Alliance $1,342 - $1,565 551%
Wc Hart & Cooley $1,342 - $1,565 551%
Alamed $1,678 - $1,957 688%
Wc Acs Compiq Xerox $2,067 - $2,411 848%
Fortified $2,325 - $3,131 954%
Core Choice $2,349 - $2,863 964%
Prime Health $2,349 - $3,013 964%
Coventry $2,377 - $2,772 975%
Rockport $2,403 - $2,802 986%
America'S Choice $2,454 - $3,131 1007%
Novanet $2,454 - $2,935 1007%
Wc Al $2,584 - $3,013 1060%
Multiplan $2,852 - $3,326 1170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals