CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Glenn Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,317
  • Cash Discount Price: $997
  • vs. Medicare Baseline: 5.40x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Glenn Medical Center is $1,317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.40x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.
Cash / Self-Pay
$997

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,317

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: $997 (409%)
Insurance Median: $1,317 (540%)
Cash: $997 (409% of Medicare)
Ins. Median: $1,317 (540% 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 540% of the Medicare baseline (a markup of 440%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medi-Cal $241 99%
Ca Health And Wellness - All Plans $268 110%
UnitedHealthcare $432 - $1,506 177%
Humana $561 - $734 230%
Blue Cross Blue Shield $567 - $1,694 233%
Blue Shield Exch $1,166 - $1,525 478%
Cigna $1,224 - $1,600 502%
First Health - All Plans $1,224 - $1,600 502%
Healthnet - All Plans $1,224 - $1,600 502%
Beech Street - All Plans $1,296 - $1,694 532%
Blue Shield Ppo/Hmo - All Other Plans $1,296 - $1,694 532%
Dept Of Corrections - All Plans $1,296 - $1,694 532%
Galaxy Health Network - All Plans $1,296 - $1,694 532%
Interplan - All Plans $1,296 - $1,694 532%
Pacific Health Alliance - All Plans $1,296 - $1,694 532%
Pponext - All Plans $1,296 - $1,694 532%
Superior Ca Ppo - All Plans $1,296 - $1,694 532%
Integrated Hp - All Plans $1,339 - $1,751 549%
Health Mgmt Network - All Plans $1,368 - $1,789 561%
Networks By Design - All Plans $1,368 - $1,789 561%
Three Rivers - All Plans $1,368 - $1,789 561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1133 W Sycamore St, Willows, CA 95988
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals