CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Oro Valley Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $346
  • Cash Discount Price: $1,287
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Oro Valley Hospital is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,287. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$1,287

Average discount available for prompt cash payment at this facility.

Insurance Median
$346

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: $1,287 (528%)
Insurance Median: $346 (142%)
Cash: $1,287 (528% of Medicare)
Ins. Median: $346 (142% 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
Medicaid / KanCare $165 - $177 68%
Magellan $173 - $2,341 71%
Aetna $183 - $741 75%
Veterans Eval Services $235 96%
Caremore Health Plan $251 103%
Cigna $251 - $876 103%
Humana $251 103%
Medicare (plans) $251 103%
Scan Health $251 103%
UnitedHealthcare $251 - $353 103%
Pascua Yaqui Tribe $252 103%
Blue Cross Blue Shield $255 - $1,315 105%
Department Of Veterans Affairs $255 105%
Node Non Par Hospice Agree $255 105%
Node Triwest $255 105%
Node Va $255 105%
Tricare $255 105%
Fresenius Health $256 105%
Clover Health Mcr Adv $257 105%
Node Devoted Health Mcr Adv $258 106%
Node Banner Mcr Adv $263 108%
Wellcare Mcr Adv $263 108%
Node Us Dept Of Labor $318 130%
Ambetter / Centene $359 147%
Node Health Choice Exchange $379 155%
Node Fusion Network $458 188%
Node J Allen Inmate Health Svcs $484 199%
Health Net $535 219%
Seven Corners $586 240%
Self Pay $936 - $1,638 384%
Beacon Health Options $1,950 800%
Mtc $1,950 800%
First Health Coventry $2,048 840%
Coventry Work Comp Al $2,341 960%
Multiplan $3,238 1328%
Prime Health $3,316 1360%
Three Rivers $3,316 1360%
Healthsmart $3,511 1440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals