CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Adventist Health Tehachapi Valley

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $310
Cash Discount Price: $208
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Adventist Health Tehachapi Valley is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$310

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: $208 (85%)

Insurance Median: $310 (127%)

Cash: $208 (85% of Medicare)

Ins. Median: $310 (127% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet Mcare	$32 - $383	13%
Tricare	$32 - $383	13%
UnitedHealthcare	$32 - $988	13%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$32 - $383	13%
Aetna	$35 - $960	14%
Network Providers- All Plans	$35 - $490	14%
Ah Employee Health Plan - All Plans	$36 - $1,068	15%
Oscar Health Plan- All Plans	$37 - $390	15%
Coventry- All Plans	$39 - $1,814	16%
Cigna	$40 - $1,574	16%
Western Grwrs/Pinnacle - All Plans	$45 - $847	18%
Healthnet- All Other Plans	$47 - $1,552	19%
Centivo - All Plans	$49 - $862	20%
Blue Shield Epn- All Other Plans	$59 - $853	24%
Blue Shield Non-Epn	$63 - $1,008	26%
Blue Cross Blue Shield	$67 - $1,222	27%
Medicare (plans)	$120 - $383	49%
Medi-Cal	$125 - $241	51%
Universal Ipa Mcal Op/Profee Only	$125 - $241	51%
Kaiser Ip/Op Only- All Other Plans	$207 - $659	85%
Kaiser Medi-Cal Ip/Op Only	$241	99%
Bc Mcal	$249	102%
Healthnet Medi-Cal	$296	121%
Khs-Kern Hlth Systm Mcal	$311	128%
Klhp-Kern Legacy Epo -All Other Plans	$316 - $1,008	130%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $208.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93970.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93970.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.