CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Menifee Global Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $342
- Cash Discount Price: $1,755
- vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Menifee Global Medical Center is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,755. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.40x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$1,755
Average discount available for prompt cash payment at this facility.
Insurance Median
$342
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: $1,755 (720%)
Insurance Median: $342 (140%)
Cash: $1,755 (720% of Medicare)
Ins. Median: $342 (140% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $169 - $285 | 69% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $199 | 82% |
| Health Net Medi-Cal | $241 | 99% |
| Ic | $241 - $1,755 | 99% |
| Kaiser Medi-Cal | $241 | 99% |
| Prospect Health Plan Mcal Hmo | $249 | 102% |
| Blue Cross Blue Shield | $253 | 104% |
| Health Net Enhanced Ppo | $279 - $428 | 114% |
| Molina Medi-Cal | $285 | 117% |
| Aetna | $305 - $959 | 125% |
| Altamed Comm Hmo (Ancillary) | $305 - $1,755 | 125% |
| Altamed Health Services Senior | $305 | 125% |
| Altamed Sr/Pace | $305 | 125% |
| Blue Shield Senior | $305 | 125% |
| Central Health Plan Senior | $305 | 125% |
| Clever Care Health Plan Sr | $305 | 125% |
| For Your Benefit Senior | $305 | 125% |
| Guidant Health Plan Senior | $305 | 125% |
| Health Net Senior | $305 | 125% |
| Hpn Senior | $305 | 125% |
| Humana | $305 | 125% |
| Kaiser Senior | $305 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $305 | 125% |
| Managed Health Network Sr | $305 | 125% |
| Medicare (plans) | $305 | 125% |
| Neighborhood Healthcare Pace | $305 | 125% |
| Primecare Senior | $305 | 125% |
| Prospect Health Plan Sr Hmo | $305 | 125% |
| Scan Senior | $305 | 125% |
| Sr Capitation | $305 | 125% |
| UnitedHealthcare | $305 - $421 | 125% |
| Veterans Administration | $305 | 125% |
| Imperial Health Plan Of Ca | $307 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $307 | 126% |
| Point Comfort Underwriters | $307 | 126% |
| Self Pay/Ab774/Charity Discount | $307 | 126% |
| Cigna | $320 - $1,404 | 131% |
| Molina Covered Ca | $335 | 137% |
| Altamed Mcal Hmo | $338 | 139% |
| Altamed Mcal/Pace | $338 | 139% |
| Choice Physicians Network | $338 | 139% |
| Hpn Mcal | $338 | 139% |
| Align Senior Care | $342 | 140% |
| Welbehealth Sr/Pace | $342 | 140% |
| Coventry | $350 | 144% |
| Prime Health Services Wcomp | $350 | 144% |
| Three Rivers Wcomp | $350 | 144% |
| Workers Comp Non-Contracted | $350 | 144% |
| Prime Health Services Senior | $351 | 144% |
| Iehp Medi-Cal | $362 | 149% |
| Iehp Covered Ca | $382 | 157% |
| Prospect Health Plan Comm Hmo | $412 | 169% |
| Hpn Commercial/Covered Ca | $428 | 176% |
| Health Net Comm | $458 | 188% |
| Three Rivers Network | $537 | 220% |
| Velocity | $537 - $790 | 220% |
| Blue Shield Epn | $858 | 352% |
| First Health Commercial | $921 | 378% |
| Blue Shield Commercial | $1,011 | 415% |
| Primecare Commercial | $1,141 | 468% |
| Multiplan Ppo | $1,228 | 504% |
| Multiplan Wcomp | $1,228 | 504% |
| Pnoa-Provider Network Of America | $1,404 | 576% |
| Prime Health Services Commercial | $1,404 | 576% |
| Ava Hospice | $1,755 | 720% |
| Kaiser Commercial | $1,755 | 720% |
| Living Waters Hospice | $1,755 | 720% |
| Managed Health Network | $1,755 | 720% |
| Other Insurance Loa | $1,755 | 720% |
| Pacific Valley Hospice | $1,755 | 720% |
| Private Pay | $1,755 | 720% |
| Silverado Hospice | $1,755 | 720% |
| Vna Hospice | $1,755 | 720% |