CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Uchealth Grandview Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,007
Cash Discount Price: $1,220
vs. Medicare Baseline: 4.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Uchealth Grandview Hospital is $1,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,220. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.13x the Medicare baseline. Located in 5623 Pulpit Peak Vw, Colorado Springs, CO.

Cash / Self-Pay

$1,220

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,007

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: $1,220 (500%)

Insurance Median: $1,007 (413%)

Cash: $1,220 (500% of Medicare)

Ins. Median: $1,007 (413% 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 413% of the Medicare baseline (a markup of 313%). 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	$139 - $1,301	57%
Aetna	$243 - $1,674	100%
Cigna	$243 - $2,040	100%
Cms	$243	100%
Devoted Health	$243	100%
Humana	$243	100%
Kaiser	$243 - $1,178	100%
Select Health	$243 - $1,284	100%
UnitedHealthcare	$243 - $777	100%
Simplified Benefits Administration	$1,112 - $1,322	456%
Denver Health Medical Plan	$1,744	715%
Rocky Mountain Health Plan	$1,883	772%
First Health	$2,057	844%
Multiplan/Phcs	$2,406	987%

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 $1,220.
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 Uchealth Grandview Hospital 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.