CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $307
- Cash Discount Price: $2,698
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at AHMC Anaheim Regional Medical Center is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,698. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$2,698
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: $2,698 (1107%)
Insurance Median: $307 (126%)
Cash: $2,698 (1107% 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 |
|---|---|---|
| Msi/Medical Services For Indigents | $52 | 21% |
| Private Pay Flat Rate | $92 | 38% |
| Allied Physicians | $135 - $460 | 55% |
| Applecare Medical Group | $135 | 55% |
| Heritage Provider Network | $135 - $414 | 55% |
| Non Contracted Medi-Cal | $135 | 55% |
| Talbert Medical Group | $135 - $199 | 55% |
| Ahmc Reciprocity Agreement | $168 - $809 | 69% |
| Altamed Health Network | $168 - $302 | 69% |
| Beverly Hospital | $168 - $338 | 69% |
| Brand New Day | $168 - $384 | 69% |
| Health Net | $168 | 69% |
| Healthcare Partners | $168 - $302 | 69% |
| Healthy Way La | $168 | 69% |
| Caloptima | $188 - $302 | 77% |
| Monarch Health Plan | $188 - $1,832 | 77% |
| Aids Health Foundation | $193 - $302 | 79% |
| Avanti | $193 - $368 | 79% |
| Emanate Health | $193 - $384 | 79% |
| Health Net Inc | $193 - $2,072 | 79% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $193 | 79% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $193 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $193 | 79% |
| Medi-Cal | $193 | 79% |
| Veterans Administration | $215 | 88% |
| Memorial Healthcare Ipa | $219 | 90% |
| Monarch Healthcare Medical Group | $233 | 96% |
| Prospect Health Plan | $236 - $414 | 97% |
| Kaiser Foundation Hospitals | $241 - $302 | 99% |
| Medical Safety Net Program | $241 | 99% |
| Prospect Medical Group | $276 | 113% |
| Alta Los Angeles Hospital | $287 | 118% |
| Tricare | $292 | 120% |
| Aetna | $302 - $761 | 124% |
| Alignment Health Plan | $302 | 124% |
| Apa Aco Inc | $302 | 124% |
| Blue Cross Blue Shield | $302 - $543 | 124% |
| Blue Shield Of California | $302 - $1,815 | 124% |
| California Health Plan | $302 | 124% |
| Central Health Of California | $302 | 124% |
| Davita Heatlhcare Partners Plan Inc | $302 - $1,457 | 124% |
| Healthnet | $302 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $1,349 | 124% |
| Pacificare | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| Seoul Medical Group | $302 - $307 | 124% |
| Wellcare | $302 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $307 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $307 | 126% |
| Self-Pay | $307 | 126% |
| Nchp | $317 | 130% |
| Align Senior Care | $320 | 131% |
| Angels Baseball Workers Comp | $350 | 144% |
| Athens Administrators | $350 | 144% |
| Capp Care | $350 - $2,024 | 144% |
| Cigna | $350 - $547 | 144% |
| Corvel | $350 - $2,024 | 144% |
| First Health | $350 - $2,293 | 144% |
| Interplan | $350 - $1,889 | 144% |
| Marriot Intl | $350 | 144% |
| Non Contracted Workers Comp | $350 | 144% |
| Orange County Preferred Provider Organization | $350 - $2,024 | 144% |
| Ahmc Health Self-Insurance Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Netcare Life And Health Insurance | $674 | 276% |
| Advance Clinical Research Institute | $809 | 332% |
| Medical Acquisition Company | $1,079 | 443% |
| Genesis Healthcare Ipa Ancillary | $1,200 | 492% |
| Affiliated Doctors Of Orange County | $1,214 | 498% |
| Healthcare Partners Commercial | $1,457 | 598% |
| Huntington Memorial Hospital | $1,457 | 598% |
| Affiliated Health Fund | $1,889 | 775% |
| Allnet Preferred Provider | $1,889 | 775% |
| Care First | $1,889 | 775% |
| Private Healthcare Systems | $1,889 | 775% |
| UnitedHealthcare | $1,948 - $2,698 | 799% |
| Choicecare | $2,024 | 830% |
| Multiplan Inc | $2,024 | 830% |
| National Provider Network | $2,158 | 885% |
| Three Rivers Providers Network | $2,158 | 885% |
| Health Payors Organization | $2,428 | 996% |
| Non Contracted Commercial | $2,698 | 1107% |