CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,250
Cash Discount Price: $2,722
vs. Medicare Baseline: 9.23x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sharp Coronado Hospital and Hlthcr Ctr is $2,250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,722. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.23x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$2,722

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,250

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: $2,722 (1117%)

Insurance Median: $2,250 (923%)

Cash: $2,722 (1117% of Medicare)

Ins. Median: $2,250 (923% 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 923% of the Medicare baseline (a markup of 823%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Net	$42 - $3,556	17%
Aetna	$544 - $2,722	223%
UnitedHealthcare	$544 - $2,903	223%
Community Health Group	$1,078 - $2,286	442%
Allianz Global Assistance	$1,234 - $2,540	506%
Blue Shield	$1,234 - $2,540	506%
Humana	$1,234 - $2,050	506%
Indian Health Council	$1,452 - $3,266	596%
Molina	$1,452 - $2,794	596%
Multiplan	$1,452 - $1,524	596%
California Health And Wellness	$1,666 - $2,794	683%
Cigna	$1,742 - $3,266	715%
Managed Health Network	$1,742 - $2,794	715%
Blue Cross Blue Shield	$2,021 - $2,903	829%
Medi-Cal	$2,214	908%
Medicare (plans)	$2,250	923%
Epic Americas	$2,268 - $2,407	930%
Interplan	$2,304	945%
Kaiser	$2,304	945%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,722.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Coronado Hospital and Hlthcr Ctr is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.