CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical Center of the Rockies

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,401
Cash Discount Price: $1,662
vs. Medicare Baseline: 5.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical Center of the Rockies is $1,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,662. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.75x the Medicare baseline. Located in 2500 Rocky Mountain Ave, Loveland, CO.

Cash / Self-Pay

$1,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,401

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: $1,662 (682%)

Insurance Median: $1,401 (575%)

Cash: $1,662 (682% of Medicare)

Ins. Median: $1,401 (575% 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 575% of the Medicare baseline (a markup of 475%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Cross Blue Shield	$144 - $1,475	59%
Aetna	$243 - $1,963	100%
Cigna	$243 - $1,818	100%
Cms	$243	100%
Devoted Health	$243	100%
Humana	$243	100%
Kaiser	$243	100%
Select Health	$243 - $1,011	100%
UnitedHealthcare	$243 - $1,963	100%
Simplified Benefits Administration	$897 - $1,930	368%
First Health	$1,401	575%
Denver Health Medical Plan	$1,852	760%
Midlands Choice	$2,137	877%
Rocky Mountain Health Plans	$2,137	877%
Multiplan	$2,160	886%
Phcs	$2,160	886%
First Choice Of The Midwest	$2,303	945%

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 $1,662.
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 Medical Center of the Rockies 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.