CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: San Gabriel Valley Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $368
- Cash Discount Price: $966
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at San Gabriel Valley Medical Center is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $966. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$966
Average discount available for prompt cash payment at this facility.
Insurance Median
$368
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: $966 (396%)
Insurance Median: $368 (151%)
Cash: $966 (396% of Medicare)
Ins. Median: $368 (151% 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 |
|---|---|---|
| Allied Physicians | $135 - $460 | 55% |
| Emanate Health | $135 - $384 | 55% |
| Ahmc Medi-Cal Reciprocity | $168 | 69% |
| Altamed Health Network | $168 - $302 | 69% |
| Beverly Hospital | $168 - $338 | 69% |
| Brand New Day | $168 - $1,127 | 69% |
| Healthnet Medi-Cal Non-Contract | $168 | 69% |
| Non Contracting Medi Cal | $168 | 69% |
| Aids Healthcare Foundation | $193 - $1,288 | 79% |
| Avanti | $193 - $368 | 79% |
| Healthy Way La | $193 | 79% |
| Hollywood Presbyterian Adv Med Mcal | $193 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $193 | 79% |
| La Care Health Plan | $193 - $307 | 79% |
| Medicaid / KanCare | $193 | 79% |
| Physicians Healthways | $193 - $307 | 79% |
| Veterans Administration | $215 | 88% |
| Care 1St Health Plan | $236 - $2,093 | 97% |
| Blue Cross Blue Shield | $246 - $1,314 | 101% |
| Aetna | $302 - $1,674 | 124% |
| Alignment Health Plan | $302 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Blue Shield Of California | $302 - $1,664 | 124% |
| Central Health Plan | $302 - $1,000 | 124% |
| Health Net | $302 - $1,871 | 124% |
| Health Net Inc | $302 - $717 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Molina Healthcare Of California | $302 - $1,256 | 124% |
| Pacific Alliance Medical Center | $302 | 124% |
| Pacificare Of California | $302 - $1,053 | 124% |
| Providence Health Network | $302 | 124% |
| Tricare | $302 | 124% |
| Wellcare | $302 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $307 | 126% |
| Inter Valley Health Plan | $307 | 126% |
| Self-Pay | $307 | 126% |
| St Vincent Medical Center/Psych | $307 | 126% |
| Athens Administrators | $350 | 144% |
| Beech Street | $350 - $2,576 | 144% |
| Other Non Contracting Workers Comp | $350 | 144% |
| Chinatown Service Center Pace | $362 | 149% |
| Ahmc Health Self-Insurance Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Private Pay | $399 | 164% |
| Cigna | $547 | 224% |
| Pacific Independent Physician Associates | $850 | 349% |
| Ahmc Reciprocity | $966 | 396% |
| Alignment Healthplan | $1,127 | 462% |
| Clever Care | $1,127 | 462% |
| Facey Medical | $1,610 | 660% |
| Community Care Network | $2,093 | 859% |
| Choicecare Network | $2,254 | 925% |
| Private Healthcare Systems (Phcs) | $2,254 | 925% |
| UnitedHealthcare | $2,334 - $3,220 | 957% |
| Affiliated Health Fund | $2,415 | 991% |
| Multiplan | $2,898 | 1189% |
| Ppo Next | $2,898 | 1189% |
| Managed Health Network | $3,220 | 1321% |
| Medi-Cal Sub Acute | $3,220 | 1321% |
| One Legacy | $3,220 | 1321% |
| Other Non Contracted Commercial | $3,220 | 1321% |
| Us Behavioral Health Plan | $3,220 | 1321% |