CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Scripps Mercy Hospital
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $307
- Cash Discount Price: $230
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Scripps Mercy Hospital is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 4077 5Th Ave, San Diego, CA.
Cash / Self-Pay
$230
Average discount available for prompt cash payment at this facility.
Insurance Median
$307
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: $230 (94%)
Insurance Median: $307 (126%)
Cash: $230 (94% of Medicare)
Ins. Median: $307 (126% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Radys Cpmg [803] | $59 - $88 | 24% |
| Blue Cross Blue Shield | $132 - $307 | 54% |
| Cigna | $132 - $435 | 54% |
| Mc Alignment [917] | $132 - $198 | 54% |
| Mc Blue Shield Promise Health Plan [914] | $132 - $198 | 54% |
| Mc Blue Shield [902] | $132 - $198 | 54% |
| Mc Health Net [904] | $132 - $198 | 54% |
| Mc Scan [905] | $132 - $198 | 54% |
| Mc United [906] | $132 - $198 | 54% |
| Bc [814] | $162 - $244 | 66% |
| Imperial County Phys Med Group [855] | $162 - $376 | 66% |
| Integrated Health Partners [894] | $162 - $244 | 66% |
| Perlman Med Group [899] | $162 - $244 | 66% |
| Sharp Comm Med Grp [812] | $162 - $501 | 66% |
| Sharp Rees Stealy Med Grp [811] | $162 - $501 | 66% |
| Ucsd [807] | $162 - $501 | 66% |
| Centivo [581] | $169 - $254 | 69% |
| Aetna | $181 - $556 | 74% |
| UnitedHealthcare | $181 - $386 | 74% |
| Blue Shield [230] | $242 - $395 | 99% |
| Health Net [340] | $247 - $767 | 101% |
| Hn [815] | $247 - $370 | 101% |
| Bs [816] | $251 - $391 | 103% |
| Uh [819] | $257 - $386 | 105% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $275 - $415 | 113% |
| Kaiser [380] | $275 - $415 | 113% |
| Kaiser [383] | $275 - $415 | 113% |
| Rady Children'S Hospital [825] | $301 - $452 | 123% |
| Astiva Mcr Adv [464] | $307 | 126% |
| Bc Mcr Adv [830] | $307 | 126% |
| Bs Mcr Adv [829] | $307 | 126% |
| Central Health Mcr Adv [441] | $307 | 126% |
| Clever Care Mcr Adv [465] | $307 | 126% |
| D-Snp Mcr Adv [889] | $307 | 126% |
| Dsnp/Csnp - Generic [458] | $307 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $307 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $307 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $307 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $307 | 126% |
| Hn Mcr Adv [832] | $307 | 126% |
| Humana | $307 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $307 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $307 | 126% |
| La Care Mcr Adv Hmo [612] | $307 | 126% |
| Medicare (plans) | $307 | 126% |
| Mpmg Mcr Adv [836] | $307 | 126% |
| Mpmg [800] | $307 | 126% |
| Ocn Mcr Adv [890] | $307 | 126% |
| San Diego Pace Medi-Cal [553] | $307 | 126% |
| Scan Mcr Adv [835] | $307 | 126% |
| Scan [500] | $307 | 126% |
| Scan [818] | $307 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $307 | 126% |
| Sharp Health Plan Mcr Adv [531] | $307 | 126% |
| Sharp Health Plan Mcr Adv [897] | $307 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $307 | 126% |
| St Paul'S Pace Medi-Cal [551] | $307 | 126% |
| Ucsd Mcr Adv [873] | $307 | 126% |
| Uh Mcr Adv [831] | $307 | 126% |
| Uh Palomar Health Mcr Adv [885] | $307 | 126% |
| Alignment Health Plan [443] | $316 | 130% |
| Palomar Health [892] | $334 - $501 | 137% |
| Veba Med Grp [813] | $334 - $501 | 137% |
| Multi Plan Network [470] | $522 - $783 | 214% |
| Prime Healthcare [614] | $522 | 214% |
| Prospect Med Group [893] | $537 | 220% |
| First Health Network [330] | $551 - $827 | 226% |
| Pnoa [615] | $551 - $827 | 226% |
| Choice Care Network [270] | $588 - $882 | 241% |
| Healthsmart [350] | $588 - $882 | 241% |