CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Adventist Health Howard Memorial

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $106
Cash Discount Price: $231
vs. Medicare Baseline: 0.43x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Adventist Health Howard Memorial is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.43x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $231 (95%)

Insurance Median: $106 (43%)

Cash: $231 (95% of Medicare)

Ins. Median: $106 (43% 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
Blue Shield Mcare	$25 - $305	10%
Medicare (plans)	$25 - $308	10%
Tricare	$25 - $305	10%
UnitedHealthcare	$28 - $1,179	11%
Ah Employee Health Plan - All Plans	$35 - $792	14%
Cigna	$40 - $1,295	16%
Western Growers/Pinnacle - All Plans	$46 - $1,143	19%
Healthnet - All Plans	$47 - $1,250	19%
Blue Shield - All Other Plans	$63 - $1,044	26%
Blue Cross Blue Shield	$66 - $1,520	27%
Aetna	$84 - $1,022	34%
Blue Shield Epn	$86 - $1,042	35%
First Health Ppo - All Plans	$100 - $1,219	41%
Ghn Ppo - All Plans	$100 - $1,219	41%
Brms - All Plans	$106 - $1,295	43%
Medi-Cal	$125 - $241	51%

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 $231.
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 Howard Memorial 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.