CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Boulder Community Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $330
  • Cash Discount Price: $2,647
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Boulder Community Health is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,647. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.35x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$2,647

Average discount available for prompt cash payment at this facility.

Insurance Median
$330

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: $2,647 (1086%)
Insurance Median: $330 (135%)
Cash: $2,647 (1086% of Medicare)
Ins. Median: $330 (135% 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
Aetna $31 - $4,982 13%
Blue Cross Blue Shield $31 - $3,406 13%
Devoted Health $31 - $2,288 13%
Health Spring $31 - $243 13%
Humana $31 - $243 13%
Medicare (plans) $31 - $2,174 13%
UnitedHealthcare $31 - $1,557 13%
Clear Spring $32 - $250 13%
Medicaid / KanCare $34 - $178 14%
Rocky Mountain Health Maintenance Organization $34 - $343 14%
Colorado Access $38 - $231 16%
Select Health Colorado Public Option $44 - $2,174 18%
Select Health Value Network $44 - $2,174 18%
Kaiser Ppo $48 - $572 20%
Kaiser Public Option $48 - $466 20%
Beech Street Community Medical Associates $49 - $296 20%
Cigna $52 - $5,775 21%
Multiplan $52 - $4,005 21%
Phcs $52 - $4,005 21%
Rocky Mountain Health Maintenance Organization Private Plan $269 - $4,005 110%
Integrated Health Plans Bch $288 - $4,291 118%
Casualty Management Network, Prime Health Services Behavioral Health $326 - $4,863 134%
Mines And Associates $326 - $4,863 134%
Three Rivers Provider Network $326 - $4,863 134%
Zelis (Profee) $326 - $4,863 134%
Casualty Management Network, Prime Health Services Community Medical Associates $346 - $5,149 142%
National Preferred Provider Network $346 - $5,149 142%
Rockport Healthcare Group Community Medical Associates $346 - $5,149 142%
Usa $346 - $5,149 142%
Rockport Healthcare Group Bch $357 - $5,321 146%
Health Payors Organization $365 - $5,435 150%
Health Management Network Bch Community Medical Associates $369 - $5,492 151%
Health Management Network Community Medical Associates $369 - $5,492 151%
National Provider Network $372 - $5,549 153%
Kaiser $569 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals