CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Cedars-Sinai Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $324
  • Cash Discount Price: $3,486
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Cedars-Sinai Medical Center is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,486. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.33x the Medicare baseline. Located in 8700 Beverly Blvd, Los Angeles, CA.
Cash / Self-Pay
$3,486

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $3,486 (1430%)
Insurance Median: $324 (133%)
Cash: $3,486 (1430% of Medicare)
Ins. Median: $324 (133% 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
Aids Healthcare Foundation And Ahf Healthcare Centers $301 123%
Alignment Health Plan $301 123%
Brandman Centers For Senior Care $301 123%
California Physicians' Service, Dba Blue Shield Of California $301 123%
Caremore Health Plan $301 123%
Concertopace Of Los Angeles, Llc $301 123%
Prospect Health Plan, Inc. $301 123%
Central Health Plan Of California $346 142%
Cigna $387 159%
Blue Cross Blue Shield $1,192 - $14,761 489%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8700 Beverly Blvd, Los Angeles, CA 90048
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals