CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Flagstaff Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $358
  • Cash Discount Price: $652
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Flagstaff Medical Center is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $652. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.47x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$652

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

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: $652 (267%)
Insurance Median: $358 (147%)
Cash: $652 (267% of Medicare)
Ins. Median: $358 (147% 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
Health Choice $176 - $523 72%
University Of Arizona Health Plans $176 - $295 72%
Va Pccc Triwest $179 - $273 73%
Devoted $193 - $282 79%
Carefirst $223 91%
Mercy Care Rhba $223 91%
Ahcccs $231 95%
Ahcccs Other $231 95%
Fmc Jail $231 95%
Health Choice Arizona $231 95%
Health Choice Integrated Care $231 95%
Health Net Of Arizona $231 95%
Mercy Care $231 95%
Nhi Out Of State Ahcccs $231 95%
UnitedHealthcare $231 - $1,207 95%
Health Net Federal $255 105%
Aetna $268 - $1,110 110%
Fmc 30/70 $268 110%
Humana $268 - $1,239 110%
Medicare (plans) $268 110%
Mercy Care Advantage $268 110%
Rehabilitation Hospital Of Northern Arizona $268 110%
Snf Fmc $268 110%
Wellcare $268 110%
Wellcare By Allwell $268 110%
Fmc Ihs $273 112%
Ambetter / Centene $308 126%
Naphcare $313 - $545 128%
Pnoa $402 165%
Self Pay $652 - $1,305 267%
Self-Pay 50% Discount $652 267%
Blue Cross Blue Shield $765 - $956 314%
Workers Comp $848 348%
Copperpoint $956 392%
Nau Athletic Department $1,044 428%
Cigna $1,174 482%
Fmc 90/10 $1,174 482%
Rural Arizona Network Multiplan $1,174 482%
United Behavioral Health $1,305 535%
Auto Insurance $5,000 2051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals