CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Redlands Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $415
  • Cash Discount Price: $858
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Redlands Community Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $858. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.70x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$858

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $858 (352%)
Insurance Median: $415 (170%)
Cash: $858 (352% of Medicare)
Ins. Median: $415 (170% 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
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 91%
Kaiser Medi-Cal $261 107%
Epic Health Plan Senior $307 126%
Health Net Healthy Families $307 126%
Health Net Healthy Kids $307 126%
Iehp Health Access Senior $307 126%
Iehp Mcr Adv $307 126%
Kaiser Senior $307 126%
Tricare $307 126%
UnitedHealthcare $307 - $715 126%
Medicare (plans) $310 127%
Alinment Health Plan Mcr Adv-All Plans $313 128%
Health Net Mcr Adv $331 136%
Universal Care-All Plans $331 136%
Llumc Sr $341 140%
Caremore Mcr Adv-All Plans $368 151%
Central Health Plan Sr-All Plans $368 151%
Dsh - All Plans $399 164%
Epic Health Plan-All Other Plans $399 164%
Patton Dsh Mcr Adv-All Plans $399 164%
Holman-All Plans $403 165%
Pinnacle Op Only-All Plans $415 170%
Rymg Op Only-All Plans $415 170%
Llumc-All Other Plans $430 176%
Beaver-All Other Plans $441 181%
Blue Cross Blue Shield $499 205%
Pacificare Bmg/Rymg Groups Only $837 343%
Blue Shield Mcare $872 358%
Pacificare (Rmg) - All Other Plans $1,073 440%
Kaiser Comm-All Other Plans $1,765 724%
Heritage/Regal Med Grp Sr $1,788 733%
Heritage/Regal Med Grp-All Other Plans $1,788 733%
Mhn-All Plans $1,788 733%
Health Net-All Other Plans $1,910 784%
Aetna $2,324 953%
Coventry-All Plans $2,503 1027%
Multiplan Kaiser $2,575 1056%
Cigna $2,682 1100%
Choicecare-All Plans $2,861 1174%
Interplan - All Plans $2,861 1174%
Aps-All Plans $3,040 1247%
Beech Street-All Plans $3,218 1320%
Medi-Cal $3,576 1467%
Iehp Healthy Family And Kids $3,934 1614%
Iehp - All Other Plans $4,184 1716%
Molina Medi-Cal $6,065 2488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals