CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Adventist Health White Memorial
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $1,239
- Cash Discount Price: $690
- vs. Medicare Baseline: 5.08x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Adventist Health White Memorial is $1,239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.08x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$690
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,239
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: $690 (283%)
Insurance Median: $1,239 (508%)
Cash: $690 (283% of Medicare)
Ins. Median: $1,239 (508% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 508% of the Medicare baseline (a markup of 408%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Shield Mcr Adv | $85 - $959 | 35% |
| Bc Medi-Cal | $88 | 36% |
| Access Medi-Cal | $241 | 99% |
| Ahp Medi-Cal | $241 | 99% |
| Alta Los Angeles Mcal 1/1/19 | $241 | 99% |
| Avanti Mcal | $241 | 99% |
| Bella Vista Medi-Cal Op/Profee Only | $241 | 99% |
| Healthcare Inc Medi-Cal | $241 | 99% |
| Lasalle Mg Medi-Cal | $241 | 99% |
| Medi-Cal | $241 | 99% |
| Molina Medi-Cal | $241 | 99% |
| Pacific Alliance Medi-Cal | $241 | 99% |
| Pacific Ipa Medi-Cal | $241 | 99% |
| Preferred Ipa La Care Mcal Cap | $241 | 99% |
| Preferred Medi-Cal | $241 | 99% |
| Access Group | $261 | 107% |
| Ahp - All Other Plans | $261 | 107% |
| Lasalle Mg Commercial - All Other Plans | $261 | 107% |
| Altamed Medi-Cal - All Other Plans | $278 | 114% |
| Healthnet Mcal | $287 | 118% |
| Fcs Ipa Medi-Cal Op/Profee Only | $290 | 119% |
| Preferred Healthy | $302 | 124% |
| Access Senior - All Other Plans | $307 | 126% |
| Ahp Senior | $307 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $307 | 126% |
| Altamed Connect | $307 | 126% |
| Avanti Mcr Adv - All Other Plans | $307 | 126% |
| Brand New Day Mcare - All Plans | $307 | 126% |
| Bs Va Mcare | $307 | 126% |
| Care First Mcare - All Other Plans | $307 | 126% |
| Clever Care - All Plans | $307 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $307 | 126% |
| Humana | $307 | 126% |
| Lasalle Mg Senior | $307 | 126% |
| Medicare (plans) | $307 | 126% |
| Molina Mcare | $307 | 126% |
| Pacific Alliance Mcare - All Other Plans | $307 | 126% |
| Preferred Senior | $307 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $307 | 126% |
| Tricare | $307 | 126% |
| UnitedHealthcare | $307 - $2,147 | 126% |
| Blue Cross Blue Shield | $319 - $1,521 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $322 | 132% |
| Assoc Hispanic Physcns Mcal | $338 | 139% |
| Bright Health - All Plans | $353 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $368 | 151% |
| Preferred Commercial - All Other Plans | $368 | 151% |
| Intergrated Medical - All Plans | $399 | 164% |
| Molina Benefit Exchange - All Other Plans | $414 | 170% |
| Php-Prospect Health Plan Cap - All Plans | $460 | 189% |
| Ah Employee Health Plan - All Plans | $552 | 226% |
| Blue Shield Medi-Cal | $603 | 247% |
| Centivo - All Plans | $690 | 283% |
| Blue Shield Epn | $761 - $1,064 | 312% |
| Care First Medi-Cal | $845 | 347% |
| Blue Shield - All Other Plans | $886 - $1,239 | 363% |
| Pacific Ipa - All Other Plans | $1,215 - $1,699 | 498% |
| Kaiser- All Plans | $1,311 - $1,834 | 538% |
| Cigna | $1,412 | 579% |
| Healthnet - All Other Plans | $1,446 - $2,022 | 593% |
| Healthnet Comm Care | $1,492 - $2,086 | 612% |
| Aetna | $1,554 - $2,173 | 637% |
| Caremore Mcare - All Plans | $1,599 - $2,236 | 656% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 656% |
| Hcpamg - All Plans | $1,602 - $2,240 | 657% |
| Healthcare Inc - All Other Plans | $1,759 - $2,460 | 722% |
| La Care Mcr Adv - All Plans | $1,759 - $2,000 | 722% |
| Western Growers/Pinnacle - All Plans | $1,791 - $2,504 | 735% |
| First Heatlh Ppo - All Plans | $1,855 - $2,594 | 761% |
| Phcs Ppo - All Plans | $2,079 - $2,907 | 853% |
| Scan Health Mcare - All Plans | $2,079 - $2,500 | 853% |
| Ahf - All Plans | $2,398 - $3,354 | 984% |
| Beech Street - All Plans | $2,398 - $3,354 | 984% |
| Interplan Ppo - All Plans | $2,398 - $3,354 | 984% |
| Corvel Corp - All Plans | $2,558 - $3,578 | 1049% |
| Multiplan Ppo - All Plans | $2,654 - $3,712 | 1089% |
| Healthmannet - All Plans | $2,718 - $3,801 | 1115% |
| Next Inc Ppo - All Plans | $2,718 - $3,801 | 1115% |
| Trpn - All Plans | $2,718 - $3,801 | 1115% |
| Fpn Ppo - All Plans | $2,878 - $4,025 | 1181% |
| Healthnet Mcr Adv | $4,893 - $6,842 | 2007% |