CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Loma Linda University Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,100
Cash Discount Price: $1,444
vs. Medicare Baseline: 4.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Loma Linda University Medical Center is $1,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,444. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.51x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$1,444

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,100

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: $1,444 (592%)

Insurance Median: $1,100 (451%)

Cash: $1,444 (592% of Medicare)

Ins. Median: $1,100 (451% 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 451% of the Medicare baseline (a markup of 351%). 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
Inland Empire Health Plan (Iehp)	$289 - $307	119%
Adventist Health	$307 - $642	126%
Alpha Care Medical Group	$307 - $461	126%
Dignity Health	$307 - $461	126%
Epic Health Plan	$307 - $1,283	126%
Kaiser Foundation Hospitals	$307 - $2,140	126%
UnitedHealthcare	$307 - $1,588	126%
Upland Medical Group	$307	126%
Vantage Medical Group	$307 - $461	126%
Prime Health Services	$326 - $2,727	134%
Riverside University Health System	$338	139%
Molina Healthcare Of Ca	$412	169%
Heritage Provider Network	$504	207%
Lluh Dept Of Risk Management	$642	263%
Blue Cross Blue Shield	$945 - $1,884	388%
Blue Shield Of California	$1,274 - $1,947	523%
Global Benefits Group	$1,925	790%
Temecula Valley Physicians Medical Group	$1,925	790%
Trivalley Medical Group	$1,925	790%
Aetna	$1,948	799%
Cigna	$2,053 - $2,374	842%
Networks By Design	$2,085	855%
Multiplan	$2,406	987%
Central Health Plan	$2,566	1053%
Galaxy Health	$2,727	1119%
Health Management Network	$2,887	1184%

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 $1,444.
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 Loma Linda University Medical Center 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.