CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $355
  • Cash Discount Price: $3,564
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at UCSF Health St. Mary's Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,564. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.46x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$3,564

Average discount available for prompt cash payment at this facility.

Insurance Median
$355

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: $3,564 (1462%)
Insurance Median: $355 (146%)
Cash: $3,564 (1462% of Medicare)
Ins. Median: $355 (146% 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
California Health & Wellness $193 79%
Kaiser $193 - $2,709 79%
Partnership Health Plan $193 79%
Health Net $234 - $8,406 96%
Sfhp $236 97%
Brown Toland $258 - $355 106%
Blue Cross Blue Shield $299 - $3,316 123%
Health Plan San Mateo $306 - $355 126%
Aetna $355 146%
Blue Shield Ca $355 146%
Chinese Community $355 - $2,317 146%
Connected Care $355 146%
Humana $355 146%
Mhn $355 146%
United $355 - $3,564 146%
Kentfield $1,029 422%
Oscar $1,164 477%
Cigna $1,825 - $1,941 749%
Magellan $2,138 877%
Healthsmart $2,495 1024%
Multiplan $2,958 1213%
Us Behavioral Health $3,564 1462%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals