CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Adventist Health Ukiah Valley

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $414
Cash Discount Price: $154
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Adventist Health Ukiah Valley is $414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.70x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$154

Average discount available for prompt cash payment at this facility.

Insurance Median

$414

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: $154 (63%)

Insurance Median: $414 (170%)

Cash: $154 (63% of Medicare)

Ins. Median: $414 (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.

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
Blue Shield Mcr Adv	$32 - $329	13%
Kaiser Mcr Adv	$32 - $329	13%
Tricare	$32 - $329	13%
Ah Employee Health Plan - All Plans	$35 - $592	14%
Cigna	$42 - $1,668	17%
UnitedHealthcare	$43 - $1,788	18%
Western Growers-All Plans	$46 - $1,219	19%
Healthnet-All Plans	$47 - $1,224	19%
Blue Shield Epn-All Other Plans	$59 - $815	24%
Blue Shield Non-Epn	$63 - $826	26%
Mendocino Lcc District-All Plans	$81 - $1,390	33%
Kaiser-All Other Plans	$100 - $1,711	41%
Three Rivers-All Plans	$112 - $1,925	46%
Kaiser Medi-Cal	$125 - $241	51%
Medi-Cal	$125 - $241	51%
Aetna	$188 - $652	77%
Blue Cross Blue Shield	$1,288 - $1,718	528%
Foundation For Medical Care-All Plans	$1,604	658%
Networks By Design-All Plans	$1,711	702%
Phcs Multiplan-All Plans	$1,711	702%
Interplan-All Plans	$1,754	720%
Beech Street-All Plans	$1,818	746%
Choice Care-All Plans	$1,818	746%
Health Mgmt Network-All Plans	$1,818	746%

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 $154.
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 Adventist Health Ukiah Valley 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.