CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Community Memorial Hospital - Ventura

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $313
  • Cash Discount Price: $713
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Community Memorial Hospital - Ventura is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $713. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.28x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$713

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $713 (292%)
Insurance Median: $313 (128%)
Cash: $713 (292% of Medicare)
Ins. Median: $313 (128% 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
Seaview $183 75%
Medi-Cal $193 79%
Non Contracted $193 - $307 79%
Valley Care $238 - $297 98%
Medicaid / KanCare $282 - $416 116%
Gold Coast Health Plan $289 - $416 119%
Tricare $292 120%
Ventura County Health Care Plan $297 122%
Aetna $307 - $1,519 126%
Blue Cross Blue Shield $307 - $933 126%
California Workers Compensation $307 126%
Medicare (plans) $307 - $313 126%
Wellcare Of California $307 126%
Alignment Health Plan $313 128%
Humana $313 128%
Scan Health Plan $313 128%
UnitedHealthcare $313 - $1,823 128%
Cigna $612 251%
Kaiser Commercial $693 284%
Multiplan $713 292%
Blue Shield Epn $758 311%
Blue Shield Commercial $850 349%
Health Net Commercial $1,189 488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals