CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Casa Colina Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $179
  • Cash Discount Price: $399
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Casa Colina Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.73x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$399

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $399 (164%)
Insurance Median: $179 (73%)
Cash: $399 (164% of Medicare)
Ins. Median: $179 (73% 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
Iehp Mcal $115 47%
Heritage Prvdr Ntwrk Mcal $118 48%
Epic Comm - All Other Plans $130 53%
Epic Mcr Adv $130 53%
Iehp Mcr Adv $130 53%
Primecare Comm - All Other Plans $130 53%
Primecare Mcr Adv $130 53%
Capital Hlth Phys Op Only - All Plans $135 55%
Doctors Managed Op Only - All Plans $135 55%
Empire Healthcare Op Only - All Plans $135 55%
Focus Healthcare Wc - All Plans $135 55%
Healthcare Partners - All Other Plans $135 55%
Healthcare Partners Mcr $135 55%
Premiercare Op Only - All Plans $135 55%
Humana $137 - $307 56%
Paramount Ipa Op Only - All Plans $138 57%
Primecare Chino Valley Mcr $138 57%
Heritage Prvdr Ntwrk Comm - All Other Plans $140 57%
Heritage Prvdr Ntwrk Mcr $140 57%
Advanced Med Dr Op Only - All Plans $150 62%
Brand New Day Mcr Adv - All Plans $150 62%
Primecare Chino Valley Comm $150 62%
Kaiser Comm - All Other Plans $154 63%
Prospect Med Grp Alta - All Plans $155 64%
Healthnet Comm - All Other Plans $156 64%
UnitedHealthcare $158 - $307 65%
Cigna $172 71%
Affiliated Hlth Funds - All Plans $178 73%
Blue Shield Comm - All Other Plans $179 73%
Blue Cross Blue Shield $197 - $307 81%
Corvel - All Plans $219 90%
Coventry - All Plans $219 90%
Multiplan - All Plans $219 90%
Medi-Cal $241 99%
Kaiser Mcal $265 109%
Aetna $273 - $368 112%
Prospect Hp Mcal $276 113%
Promed Hlth Ntwrk Op Only - All Plans $292 120%
Blue Shield Mcr Adv $307 126%
Caremore Mcr Adv - All Plans $307 126%
Central Hlth Plan - All Plans $307 126%
Healthnet Mcr Adv $307 126%
Iehp - All Other Plans $307 126%
Kaiser Mcr Adv $307 126%
Prospect Hp Mcr Adv $307 126%
Triwest - All Plans $307 126%
Wellcare Mcr Adv - All Plans $307 126%
Prospect Hp Comm - All Other Plans $338 139%
Three Rivers - All Plans $350 144%
Tricare $420 172%
Galaxy Provdr Ntwrk - All Plans $490 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals