CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: East Morgan County Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $396
  • Cash Discount Price: $531
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at East Morgan County Hospital is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $531. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.62x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$531

Average discount available for prompt cash payment at this facility.

Insurance Median
$396

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: $531 (218%)
Insurance Median: $396 (162%)
Cash: $531 (218% of Medicare)
Ins. Median: $396 (162% 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
Pinnacol Assurance Workers Comp $30 - $723 12%
Aetna $31 - $1,596 13%
Banner Health $31 - $738 13%
Blue Cross Blue Shield $31 - $1,408 13%
Clear Spring Health $31 - $738 13%
Healthspring Life & Health Insurance Company, Inc. $31 - $738 13%
Longevity $31 - $760 13%
Medica $31 - $1,429 13%
Medicare (plans) $31 - $738 13%
Triwest Healthcare Alliance Corp - Va Ccn $31 - $738 13%
UnitedHealthcare $31 - $1,596 13%
Humana $32 - $782 13%
Devoted Health Services $34 - $812 14%
Assist Health Group $37 - $885 15%
Denver Health Medical Plan $57 - $1,373 23%
Apostrophe, Inc. $64 - $1,544 26%
First Choice Health Network $64 - $1,544 26%
Hue Health, Inc $67 - $1,630 27%
Rocky Mountain Health Plans $67 - $1,630 27%
Multiplan $69 - $1,665 28%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals