CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Verde Valley Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $295
  • Cash Discount Price: $461
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Verde Valley Medical Center is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $461. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$461

Average discount available for prompt cash payment at this facility.

Insurance Median
$295

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: $461 (189%)
Insurance Median: $295 (121%)
Cash: $461 (189% of Medicare)
Ins. Median: $295 (121% 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
UnitedHealthcare $119 - $1,339 49%
Health Choice $176 - $523 72%
University Of Arizona Health Plans $176 - $295 72%
Va Pccc Triwest $179 - $273 73%
Devoted $193 - $282 79%
Self Pay $199 - $1,448 82%
Self-Pay 50% Discount $199 - $724 82%
Mercy Care Rhba $223 91%
Health Choice Integrated Care $227 93%
Ahcccs $231 95%
Ahcccs Other $232 95%
Blue Cross Blue Shield $232 - $1,054 95%
Care 1St $232 95%
Health Choice Arizona $232 95%
Health Net Of Arizona $232 95%
Mercy Care $232 95%
Nhi Out Of State Ahcccs $232 95%
Vvmc Jail $232 95%
Health Net Federal $255 105%
Workers Comp $259 - $941 106%
Aetna $268 - $1,255 110%
Community Health Center Of Yavapai $268 110%
Humana $268 110%
Medicare (plans) $268 110%
Mercy Care Advantage $268 110%
Snf Vvmc $268 110%
Vvmc 30/70 $268 110%
Wellcare $268 110%
Wellcare By Allwell $268 110%
Copperpoint $290 - $1,054 119%
Ambetter / Centene $308 126%
Naphcare $313 - $545 128%
Gold Kidney $322 132%
Cigna $358 - $1,303 147%
Vvmc 90/10 $358 - $1,303 147%
Pnoa-Provider Network Of America $409 168%
Auto Insurance $5,000 2051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals