CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Clovis Community Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $198
- Cash Discount Price: $2,299
- vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Clovis Community Medical Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,299. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.81x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$2,299
Average discount available for prompt cash payment at this facility.
Insurance Median
$198
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: $2,299 (943%)
Insurance Median: $198 (81%)
Cash: $2,299 (943% of Medicare)
Ins. Median: $198 (81% 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 |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $32 - $307 | 13% |
| Aetna | $32 - $1,437 | 13% |
| Blue Cross Blue Shield | $32 - $1,828 | 13% |
| Blue Shield | $32 - $1,635 | 13% |
| Blue Shield 65 Plus Hmo Ehs | $32 - $307 | 13% |
| Blue Shield 65 Plus Hmo First Choice | $32 - $307 | 13% |
| Blue Shield Hmo-Cvmp/Medpro | $32 - $307 | 13% |
| Blue Shield Promise - Imperial | $32 - $307 | 13% |
| Blue Shield Saint Agnes | $32 - $307 | 13% |
| Blue Shield Sante | $32 - $307 | 13% |
| Brand New Day | $32 - $307 | 13% |
| Bscphp - Dhmso | $32 - $307 | 13% |
| Bscphp - First Choice | $32 - $307 | 13% |
| Bscphp Hmo - First Choice | $32 - $307 | 13% |
| Care1St Hmo - Ehs | $32 - $307 | 13% |
| Cares Act Provider Relief Fund | $32 - $307 | 13% |
| Cigna | $32 - $1,782 | 13% |
| Gemcare Hmo | $32 - $307 | 13% |
| Generic | $32 - $307 | 13% |
| Generic Bscphp | $32 - $307 | 13% |
| Generic Victims Of Crime | $32 - $307 | 13% |
| Hartford Life Supplement | $32 - $307 | 13% |
| Healthnet Hmo - Cvmp/Medpro | $32 - $307 | 13% |
| Healthnet Hmo - Dhmso | $32 - $307 | 13% |
| Healthnet Hmo - La Salle | $32 - $307 | 13% |
| Healthnet Hmo - Sante | $32 - $307 | 13% |
| Healthnet Sante | $32 - $307 | 13% |
| Healthnet Sante - Sub Cap Dual Risk | $32 - $307 | 13% |
| Healthnet Sante Dual Risk | $32 - $307 | 13% |
| Humana | $32 - $2,443 | 13% |
| Medi-Cal Innovative Integrated Health | $32 - $307 | 13% |
| Medicare (plans) | $32 - $307 | 13% |
| Meritage Blue Shield 65 Plus | $32 - $307 | 13% |
| Meritage Brand New Day | $32 - $307 | 13% |
| Meritage Healthnet Hmo | $32 - $307 | 13% |
| Railroad Part A | $32 - $307 | 13% |
| Railroad Part A & B | $32 - $307 | 13% |
| Railroad Part B | $32 - $307 | 13% |
| Sante | $32 - $307 | 13% |
| Sante Sub Cap Healthnet Seniority | $32 - $307 | 13% |
| Sante Sub Cap-Blue Shield/Sante | $32 - $307 | 13% |
| Sante-Blue Shield/Sante | $32 - $307 | 13% |
| Sante-Healthnet Seniority | $32 - $307 | 13% |
| Sante-Sub Cap Ma Brand New Day | $32 - $307 | 13% |
| Scan Health Plan | $32 - $307 | 13% |
| Sequoia Pace - Peak Tpa | $32 - $307 | 13% |
| Todays Pyramid | $32 - $307 | 13% |
| UnitedHealthcare | $32 - $1,507 | 13% |
| Us Marshal | $32 - $307 | 13% |
| Victims Of Crime | $32 - $307 | 13% |
| Well Path (Cfmg) | $32 - $3,161 | 13% |
| Wellcare | $32 - $307 | 13% |
| Alignment Health Plan | $35 - $338 | 14% |
| Champion Health Plan Of California Ma | $35 - $338 | 14% |
| Innovative Integrated Health Community Plans Hmo | $35 - $338 | 14% |
| Imperial Health Plan Hmo | $37 - $353 | 15% |
| Correctcare Integrated Health | $42 - $399 | 17% |
| Coalinga State Hospital | $64 - $614 | 26% |
| Naphcare Inc-Mendota | $69 - $660 | 28% |
| Cal Caloptima | $168 | 69% |
| Ccs Fresno | $168 | 69% |
| Ccs Kern | $168 | 69% |
| Ccs Kings | $168 | 69% |
| Ccs Madera/Sacramento | $168 | 69% |
| Ccs Mariposa | $168 | 69% |
| Ccs Merced | $168 | 69% |
| Ccs Stanislaus | $168 | 69% |
| Ccs Tulare | $168 | 69% |
| Chdp | $168 | 69% |
| Fresno County Funded Specialty Care | $168 | 69% |
| Generic Care Out Of County | $168 | 69% |
| Generic Ccs Other Counties | $168 | 69% |
| Genetically Handicapped Person | $168 | 69% |
| Gold Coast Medi-Cal | $168 | 69% |
| Medi-Cal Alameda Alliance For Health | $168 | 69% |
| Medi-Cal Blue Shield Promise Health | $168 | 69% |
| Medi-Cal California Health & Wellness Plan | $168 | 69% |
| Medi-Cal Cencal Health | $168 | 69% |
| Medi-Cal Community Health Group | $168 | 69% |
| Medi-Cal Contra Costa Health Plan | $168 | 69% |
| Medi-Cal Health Plan Of San Mateo | $168 | 69% |
| Medi-Cal Inland Empire Health | $168 | 69% |
| Medi-Cal Kern Family Health | $168 | 69% |
| Medi-Cal La Care Health | $168 | 69% |
| Medi-Cal Molina | $168 | 69% |
| Medi-Cal Partnership Health Plan Of Ca | $168 | 69% |
| San Francisco Health Plan Medi-Cal | $168 | 69% |
| Santa Clara Family Health Plan - Premier Health | $168 | 69% |
| Santa Clara Family Health Plan - Valley Health | $168 | 69% |
| Kaiser | $244 | 100% |
| Health Plan Of San Joaquin | $252 | 103% |
| Sequoia Pace | $252 | 103% |
| Adventist -Mcl Calviva Sub Cap | $278 | 114% |
| Healthnet | $324 - $1,687 | 133% |
| Central Valley Medical Providers | $718 - $2,012 | 295% |
| Community Care | $733 | 301% |
| Employer 90/40 | $1,150 | 472% |
| Central Ca Indian Health | $1,581 | 649% |
| Nx Health Network Ppo | $1,581 | 649% |
| Healthsmart | $1,954 - $2,299 | 802% |
| Coventry Health Care (First Health Network) | $2,156 | 884% |
| Network By Design | $2,156 | 884% |
| Generic Multiplan | $2,443 | 1002% |
| Phcs | $2,443 | 1002% |