CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Forrest City Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,305
Cash Discount Price: $1,119
vs. Medicare Baseline: 5.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Forrest City Medical Center is $1,305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,119. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.35x the Medicare baseline. Located in 1601 Newcastle Road, Forrest City, AR.

Cash / Self-Pay

$1,119

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,305

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: $1,119 (459%)

Insurance Median: $1,305 (535%)

Cash: $1,119 (459% of Medicare)

Ins. Median: $1,305 (535% 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 535% of the Medicare baseline (a markup of 435%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$224	92%
Ccs Prison/Naphcare-All Plans	$233	96%
UnitedHealthcare	$296	121%
Municipal-All Plans	$932	382%
Cigna	$969	398%
Multiplan-All Plans	$1,305	535%
Humana	$1,398	573%
Aetna	$1,491 - $1,678	612%
Ambetter / Centene	$2,703	1109%

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 $1,119.
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 Forrest City Medical Center 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.