CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Banner Fort Collins Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $583
  • Cash Discount Price: $330
  • vs. Medicare Baseline: 2.39x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Banner Fort Collins Medical Center is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.39x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$330

Average discount available for prompt cash payment at this facility.

Insurance Median
$583

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: $330 (135%)
Insurance Median: $583 (239%)
Cash: $330 (135% of Medicare)
Ins. Median: $583 (239% 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 239% of the Medicare baseline (a markup of 139%). 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
UnitedHealthcare $236 - $795 97%
Blue Cross Blue Shield $243 - $1,027 100%
Cigna $243 100%
Clear Spring Health $243 100%
Healthspring Life & Health Insurance Company, Inc. $243 100%
Medica $243 - $801 100%
Medicare (plans) $243 100%
Humana $250 103%
Longevity $250 103%
Devoted Health Services $255 105%
Assist Health Group $292 120%
Pinnacol Assurance Workers Comp $381 156%
Banner Health $394 162%
Denver Health Medical Plan $434 178%
Centivo $583 239%
Hue Health, Inc $619 - $673 254%
Rocky Mountain Health Plans $812 333%
Apostrophe, Inc. $818 336%
Decent Health $818 336%
Aetna $846 347%
First Choice Health Network $866 355%
Multiplan $904 371%
First Choice Of The Midwest $914 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals