CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ventura County Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $307
  • Cash Discount Price: $803
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ventura County Medical Center is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $803. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$803

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: $803 (329%)
Insurance Median: $307 (126%)
Cash: $803 (329% 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

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
Vchcp-All Plans $32 - $578 13%
Aetna $33 - $3,044 14%
Alignment Hp - All Plans $33 - $307 14%
Blue Shield Mcr Adv $33 - $307 14%
Humana $33 - $307 14%
Ntwrk Provdrs-All Plans $33 - $399 14%
Scan-All Plans $33 - $368 14%
Healthnet Mcr Adv $35 - $322 14%
Cigna $37 - $770 15%
Clinicas Mcr Adv $38 - $350 16%
Imperial-All Plans $38 - $399 16%
Western Growers-All Plans $42 - $384 17%
Clinicas Comm - All Other Plans $43 - $399 18%
UnitedHealthcare $44 - $1,666 18%
Blue Cross Blue Shield $45 - $1,831 18%
Healthnet Comm-All Other Plans $45 - $1,674 18%
Multiplan/Claritev-All Plans $134 - $2,435 55%
Clinicas Mcal $168 - $302 69%
Gold Coast Medi-Cal-All Plans $168 - $426 69%
Medi-Cal $168 - $241 69%
Blue Shield Comm - All Other Plans $230 - $444 94%
Blue Shield Epn $230 - $1,181 94%
Hpn Ip/Op Only Medi-Cal $241 99%
Kaiser Medi-Cal Ip/Op Only $241 99%
Kaiser Mcal Pediatric Ip/Op Only $265 109%
Tricare $298 122%
Americas Hp Mcal Ip/Op Only $314 129%
Americas Hp Mcr Adv Ip/Op Only $353 145%
Americas Hp Comm Ip/Op Only-All Other Plans $460 189%
Kaiser Comm Pediatric Ip/Op Only $1,674 687%
Three Rivers Ip/Op Only-All Plans $2,435 999%
Ppo Next Ip/Op Only-All Plans $2,740 1124%
Kaiser Mcr Pediatric Ip/Op Only $3,044 1249%
Medicare (plans) $3,044 1249%
Hpn Comm Ip/Op Only-All Other Plans $4,322 1773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals