CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Northwest Medical Center Sahuarita

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $255
  • Cash Discount Price: $1,112
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Northwest Medical Center Sahuarita is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,112. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.05x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$1,112

Average discount available for prompt cash payment at this facility.

Insurance Median
$255

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: $1,112 (456%)
Insurance Median: $255 (105%)
Cash: $1,112 (456% of Medicare)
Ins. Median: $255 (105% 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%
Mercy Care $165 - $251 68%
Aetna $183 - $251 75%
Blue Cross Blue Shield $251 - $1,315 103%
Cigna $251 - $876 103%
Humana $251 103%
Medicare (plans) $251 103%
Node Caremore Mcr Adv $251 103%
Node Mercy Care Mcr Adv $251 103%
UnitedHealthcare $251 - $353 103%
Department Of Veterans Affairs $255 105%
Node Champva $255 105%
Node Non Par Hospice Agree $255 105%
Node Triwest $255 - $273 105%
Node Va $255 105%
Tricare $255 105%
Node Clover Health Mcr Adv $257 105%
Node Devoted Health Mcr Adv $258 106%
Banner Mcr Adv $263 108%
Node Banner Mcr Adv $263 108%
Node Wellcare Mcr Adv $263 108%
Node Us Dept Of Labor $318 130%
Ambetter / Centene $359 147%
Node Health Choice Health Exchange $379 155%
Node Fusion Network $458 188%
Node J Allen Inmate Health Svcs $484 199%
Self Pay $702 - $1,521 288%
Coventry Work Comp Al $2,341 960%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals