CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Glendale Adventist Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $688
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 2.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Glendale Adventist Medical Center is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.82x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$688

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: $344 (141%)
Insurance Median: $688 (282%)
Cash: $344 (141% of Medicare)
Ins. Median: $688 (282% 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 282% of the Medicare baseline (a markup of 182%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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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
Alignment Hp Mcr Adv - All Plans $34 - $3,940 14%
Blue Shield Mcr Adv $34 - $307 14%
Caremore Mcr Adv - All Plans $34 - $2,246 14%
Clever Care Mcr Adv - All Plans $34 - $307 14%
Healthcare Partners- All Plans $34 - $1,872 14%
La Care Mcr Adv- All Plans $34 - $2,000 14%
Molina Mcr $34 - $307 14%
Scan Mcr Adv - All Plans $34 - $2,500 14%
Tricare $34 - $307 14%
UnitedHealthcare $34 - $1,872 14%
Aetna $35 - $2,009 14%
Blue Cross Blue Shield $35 - $1,508 14%
Ah Employee Health Plan - All Plans $37 - $552 15%
Cigna $40 - $1,899 16%
Heritage Commercial - All Other Plans $40 - $2,088 16%
Heritage Sr $40 - $2,128 16%
Regal Medical Group Commercial - All Other Plans $40 - $368 16%
Dept Of State Hsp Metropolitan- All Plans $44 - $399 18%
Molina Exchange - All Other Plans $45 - $414 18%
Western Growers/Pinnacle - All Plans $47 - $2,285 19%
Healthnet Mcr Adv $48 - $5,595 20%
Healthnet - All Other Plans $49 - $2,223 20%
Centivo - All Plans $51 - $690 21%
Blue Shield Epn - All Other Plans $59 - $1,450 24%
Blue Shield Non Epn $63 - $1,671 26%
First Health- All Plans $81 - $2,285 33%
Bc Medi-Cal $88 - $139 36%
Phcs- All Plans $90 - $2,561 37%
Corvel- All Plans $111 - $3,152 46%
Health Mgmt Network - All Plans $118 - $3,349 48%
Kaiser - All Plans $118 - $3,349 48%
Blue Shield Medi-Cal $139 - $603 57%
Healthnet Mcal $139 - $287 57%
Heritage Mcal $139 - $256 57%
Medi-Cal $139 - $241 57%
Molina Mcal $139 - $241 57%
Regal Med Group Mcal $307 126%
Employers Health Network - All Plans $688 - $1,198 282%
Phys Assoc Op Only- All Plans $688 - $1,182 282%
Beech Street - All Plans $1,719 - $2,955 705%
Choicecare - All Plans $1,719 - $2,955 705%
Three Rivers - All Plans $1,948 - $3,349 799%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals