CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Chapman Global Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $350
  • Cash Discount Price: $2,047
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Chapman Global Medical Center is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,047. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.44x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$2,047

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

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: $2,047 (840%)
Insurance Median: $350 (144%)
Cash: $2,047 (840% of Medicare)
Ins. Median: $350 (144% 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
Monarch Health Plan $189 - $338 78%
Brand New Day $202 - $384 83%
Altamed Mcal Hmo (Ancillary) $241 99%
Healthcare Partners $241 99%
Hollywood Presbyterian $241 - $305 99%
Kaiser $241 - $1,261 99%
Medi-Cal $241 99%
Prime Health Services $241 - $1,638 99%
State Of California $241 99%
Scan/Altamed $290 119%
Champ $295 121%
Champus $295 121%
Aetna $305 - $445 125%
Altamed $305 - $338 125%
Altamed Health Services $305 125%
Astiva $305 125%
Blue Shield Of California $305 - $1,164 125%
Central Health Plan $305 125%
Champion Health Plan $305 125%
Citizen Choice Health Plan $305 125%
Clever Care $305 125%
Easy Choice $305 125%
For Your Benefit $305 125%
Health Net $305 - $1,494 125%
Healthcare Partners Sr Hmo $305 125%
Heritage Provider Network $305 - $1,228 125%
Humana $305 125%
Medicare (plans) $305 125%
Monarch Sr $305 125%
Onecare $305 125%
Onecare/Connect $305 125%
Prospect Health Plan $305 - $460 125%
Scan Health Plan $305 125%
St Joseph $305 125%
UnitedHealthcare $305 - $1,247 125%
Us Federal Marshall/Department Of Immigration $305 125%
Velocity National Provider Network Sr $305 125%
Verda Health Plan $305 125%
Veterans Administration $305 125%
Apex Hospice $307 126%
Caloptima $307 - $338 126%
Choice Physicians Network $307 126%
Imperial Health Plan Of Ca $307 126%
Innovative Integrated Health $307 126%
Medcare Partners Health Plan $307 126%
Self Pay $307 126%
Us Department Of Labor/Workers Comp $307 126%
Victim Of Violent Crime $307 126%
Victoria Hospice $307 126%
Healthcare Partners Hmo $331 136%
Altamed Whole Child Model/Caloptima $338 139%
Choc Health Alliance $338 139%
County Of Orange $338 - $384 139%
Family Choice $338 139%
Align Senior Care $342 140%
Coventry Health $350 144%
Indemnity Workers Comp California Fee Schedule $350 144%
Interplan $350 - $1,535 144%
Multiplan $350 144%
Three Rivers Wc $350 144%
Velocity National Provider Network Wc $350 144%
Veterans Evaluation Services $384 158%
Staywell/Island Home Ins $430 176%
Three Rivers Network $537 220%
Velocity National Provider Network Ppo $537 220%
Ihhi $614 252%
Velocity National Provider Network Auto Med Ppo $921 378%
First Health $1,075 441%
Magellan $1,228 504%
Magellan Behavioral Health $1,228 504%
Cigna $1,331 - $1,638 546%
Multiplan/Master $1,433 588%
Networks By Design $1,433 588%
Healthsmart Preferred Network $1,535 630%
Pnoa-Provider Network Of America $1,638 672%
Prime Health Services/Network $1,740 714%
Clinics $2,047 840%
Lucet Bh Scan Sr $2,047 840%
Managed Health Network $2,047 840%
Opiate Detox Institute $2,047 840%
Other Insurance $2,047 840%
Other Non Contracted Insurance Plans $2,047 840%
Private Pay $2,047 840%
Silverado Hospice $2,047 840%
Us Behavioral Health $2,047 840%
Waismann Method Medical Group $2,047 840%
West Coast Hospice Care $2,047 840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 E Chapman Ave, Orange, CA 92869
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals