CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Whittier Hospital Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $368
- Cash Discount Price: $243
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Whittier Hospital Medical Center is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$243
Average discount available for prompt cash payment at this facility.
Insurance Median
$368
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: $243 (100%)
Insurance Median: $368 (151%)
Cash: $243 (100% of Medicare)
Ins. Median: $368 (151% 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 |
|---|---|---|
| Blue Cross Blue Shield | $72 - $898 | 30% |
| Capnet | $72 | 30% |
| Aids Healthcare Foundation | $135 - $302 | 55% |
| Allied Physicians | $135 - $460 | 55% |
| Kaiser Foundation | $135 - $1,258 | 55% |
| Synermed | $135 - $307 | 55% |
| Ahmc Medi-Cal Reciprocity Agreement | $168 | 69% |
| Alta Med Health Network | $168 - $302 | 69% |
| Altamed Health Services Corporation | $168 | 69% |
| Beverly Hospital | $168 - $338 | 69% |
| Brand New Day | $168 - $377 | 69% |
| Emanate Health | $168 - $377 | 69% |
| Health Net | $168 - $1,075 | 69% |
| Healthy Way La | $168 | 69% |
| Heritage Provider Network | $168 - $414 | 69% |
| La Care Healthy Families/Healthy Kids | $168 | 69% |
| Non Contracted Medi-Cal | $168 | 69% |
| Prospect Health Plan | $168 - $491 | 69% |
| Physician Healthways | $180 | 74% |
| Monarch Healthplan | $188 | 77% |
| Avanti | $193 - $368 | 79% |
| Care First Health Plan | $193 | 79% |
| County Of Los Angeles Dept Of Health Services | $193 | 79% |
| Hollywood Presbyterian Adv Med Mcal | $193 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $193 | 79% |
| La Care Health Plan | $193 - $988 | 79% |
| Medi Caid/ Medi Cal | $193 | 79% |
| Pacific Independent Physician Association | $193 - $539 | 79% |
| Applecare Medical Group | $215 | 88% |
| Veterans Administration | $215 | 88% |
| Caloptima | $236 - $302 | 97% |
| Aetna | $302 - $1,308 | 124% |
| Alta Los Angeles Hospitals Inc | $302 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Central Health Plan | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Pacificare Of California | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| Blue Shield Of California | $307 - $1,649 | 126% |
| Caremore | $307 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Pacific Alliance Medical Center | $307 | 126% |
| Private Pay | $307 | 126% |
| Self-Pay | $307 | 126% |
| Tricare | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare Of California | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Athens Administrators Ahmc Work Comp | $350 | 144% |
| Fmc Los Angeles County | $350 - $1,348 | 144% |
| Interplan Health Group | $350 | 144% |
| Misc 1 | $350 | 144% |
| Multiplan Wc | $350 | 144% |
| Chinatown Service Center Pace | $368 | 151% |
| Ahmc Health | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Medical Center | $384 - $701 | 158% |
| Physicians Healthways Medical Corporation | $449 | 184% |
| Ahmc Reciprocity | $539 | 221% |
| Ahmc Reciprocity Agreement Senior/Commercial | $539 | 221% |
| Wear And Wood | $539 - $719 | 221% |
| Cigna | $547 | 224% |
| Edward Medical Group | $629 | 258% |
| UnitedHealthcare | $642 - $1,797 | 263% |
| Central Health Plan Of California | $719 | 295% |
| Health Net Inc | $752 - $1,168 | 308% |
| Allied Physicians Ipa | $809 | 332% |
| Healthnet | $921 - $1,247 | 378% |
| Prospect Medical | $988 | 405% |
| Care 1St Health Plan | $1,078 | 442% |
| New Horizon Medical Group Inc | $1,078 | 442% |
| Cost Containment | $1,168 | 479% |
| Davita Healthcare Partners | $1,168 | 479% |
| Universal Care | $1,168 - $1,258 | 479% |
| Asi/Flex | $1,258 | 516% |
| Us Comp Care | $1,258 | 516% |
| Value Healthplan Of California | $1,258 | 516% |
| Community Care Network | $1,348 | 553% |
| Coventry Health Care | $1,348 | 553% |
| Coventry Health Care National Network | $1,348 | 553% |
| Interplan Corporation | $1,348 | 553% |
| Managed Care Administrators | $1,348 | 553% |
| Prohealth | $1,348 | 553% |
| Multiplan | $1,527 | 626% |
| Commercial Non Contract | $1,797 | 737% |
| Medi-Cal Sub Acute | $1,797 | 737% |
| One Legacy | $1,797 | 737% |
| Great-West Healthcare Of California | $2,500 | 1026% |