CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Monterey Park Hospital
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $553
- Cash Discount Price: $1,954
- vs. Medicare Baseline: 2.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Monterey Park Hospital is $553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,954. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.27x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,954
Average discount available for prompt cash payment at this facility.
Insurance Median
$553
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: $1,954 (802%)
Insurance Median: $553 (227%)
Cash: $1,954 (802% of Medicare)
Ins. Median: $553 (227% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Accountable Ipa | $135 | 55% |
| Allied Physicians | $135 - $460 | 55% |
| Alta Med Health Services Corp | $135 - $498 | 55% |
| Altamed Health Network | $135 - $302 | 55% |
| Assess Ipa | $135 | 55% |
| Blue Cross Blue Shield | $135 - $997 | 55% |
| Care 1St Mcl/Gar Cap | $135 | 55% |
| Family Health Alliance Medical Group | $135 - $500 | 55% |
| Healthnet Inc | $135 | 55% |
| La Care | $135 - $307 | 55% |
| Medical Managed Care Program | $135 | 55% |
| Molina Healthcare | $135 | 55% |
| Preferred Ipa Of California | $135 | 55% |
| La Care Health Plan | $139 - $1,097 | 57% |
| Access Ipa Ancillary | $168 - $276 | 69% |
| Ahmc Healthcare Inc | $168 - $598 | 69% |
| Altamed Health Services | $168 | 69% |
| Applecare Medical Group | $168 - $246 | 69% |
| Associated Hispanic Physicians Ancillary | $168 - $276 | 69% |
| Beverly Hospital | $168 - $338 | 69% |
| Brand New Day | $168 - $384 | 69% |
| Community Health Plan | $168 | 69% |
| Esperanza Medical Group Ipa | $168 - $500 | 69% |
| Health Net Medi Cal | $168 | 69% |
| Healthy Way La | $168 | 69% |
| Other Non-Contracted Medi-Cal | $168 | 69% |
| Preferred Ipa | $168 - $384 | 69% |
| Alhambra Community Dialysis Unit Inc | $174 - $1,196 | 71% |
| Altamed Health Services Corporation | $184 - $199 | 75% |
| Care 1St M Cal | $184 - $199 | 75% |
| Crown City Medical Group Inc | $184 - $199 | 75% |
| Garfield Medical Center | $184 - $199 | 75% |
| Physician Healthways | $184 - $498 | 75% |
| Universal Care M Cal/Advantage Health Network | $184 - $199 | 75% |
| Aids Health Foundation | $193 - $302 | 79% |
| Avanti | $193 - $368 | 79% |
| Emanate Health | $193 - $384 | 79% |
| Hollywood Presbyterian Adv Med Mcal | $193 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $193 | 79% |
| Maxi Med Inc/Ipa | $193 - $307 | 79% |
| Medi Cal | $193 | 79% |
| Pacific Independent Physician Association | $193 - $598 | 79% |
| Veterans Administration | $215 | 88% |
| Bella Vista Medical Group Ancillary | $241 | 99% |
| Central Health Plan | $241 | 99% |
| Bella Vista Medical Group | $246 - $598 | 101% |
| Senior Citizens Choice | $272 | 112% |
| Caloptima Direct | $284 | 117% |
| Alignment Health Plan | $297 | 122% |
| Aetna | $302 - $1,452 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Blue Shield Of California | $302 - $1,471 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| First Health Senior | $302 | 124% |
| Foundation Health Plan | $302 | 124% |
| Health Net | $302 - $1,296 | 124% |
| Health Net Inc | $302 - $1,412 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Scan Health Plan | $302 | 124% |
| Secure Horizons | $302 | 124% |
| Ucla/Impact Cancer | $302 | 124% |
| UnitedHealthcare | $302 - $1,396 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Self-Pay | $307 | 126% |
| Molina Healthcare Medi-Connect | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Asi Flex Ppo W/C | $348 | 143% |
| Athens Administrators | $348 | 143% |
| Indemnity W Comp Fee Schedule | $348 | 143% |
| Interplan | $348 - $1,496 | 143% |
| Multiplan | $348 - $1,695 | 143% |
| Preferred Health Network | $348 - $1,595 | 143% |
| Global Care Medical Group Ipa | $368 - $897 | 151% |
| Healthnet/Ehs Capitation | $368 - $399 | 151% |
| Ahmc Health Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Healthcare Of California | $384 | 158% |
| Employee Health Systems Medical Group | $391 - $1,196 | 160% |
| Hispanic Physicians Ipa Medical Corporation | $460 - $498 | 189% |
| Cigna | $547 | 224% |
| Ahmc Reciprocity Agreement Senior/Commercial | $553 - $598 | 227% |
| Allied Physicians Ipa | $553 - $598 | 227% |
| Community Health Plan M Cal Joy Ipa | $553 - $598 | 227% |
| Tenet Reciprocity | $553 - $598 | 227% |
| Healthcare Partners Affiliates Medical Group | $658 - $712 | 270% |
| Molina Medical Centers | $718 - $778 | 295% |
| Central Health Plan Of California | $737 - $798 | 302% |
| One Health Plan | $775 - $1,196 | 318% |
| Health Net Of California | $914 - $1,192 | 375% |
| Corvel Corporation | $925 - $1,595 | 379% |
| Universal Care | $1,000 - $1,250 | 410% |
| Care 1St Health Plan | $1,105 - $1,196 | 453% |
| Greater Los Angeles Dialysis Inc | $1,105 - $1,196 | 453% |
| Choice Care Network | $1,197 - $1,296 | 491% |
| Healthnet | $1,197 - $1,296 | 491% |
| Pacificare | $1,553 - $1,994 | 637% |
| Bce Emergis Corp | $1,566 - $1,695 | 642% |
| Commercial Non Contract | $1,842 - $1,994 | 756% |
| Mri/Ct Greater El Monte Hospital | $1,842 - $1,994 | 756% |
| Mri/Mra/Alhambra Hospital | $1,842 - $1,994 | 756% |
| Mri/Mra/Eladh | $1,842 - $1,994 | 756% |
| One Legacy | $1,842 - $1,994 | 756% |