CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Gunnison Valley Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,042
Cash Discount Price: $1,212
vs. Medicare Baseline: 4.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Gunnison Valley Hospital is $1,042. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,212. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.27x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$1,212

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,042

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: $1,212 (497%)

Insurance Median: $1,042 (427%)

Cash: $1,212 (497% of Medicare)

Ins. Median: $1,042 (427% 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 427% of the Medicare baseline (a markup of 327%). 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
Medicare (plans)	$31 - $722	13%
Aetna	$45 - $1,415	18%
Apostrophe-All Plans	$52 - $1,327	21%
Cigna	$52 - $1,445	21%
Gunnison County Sheriff Op & Profee Only	$119 - $757	49%
Ebms Hdhp	$140 - $884	57%
Tetwp Op & Profee Only-All Plans	$140 - $884	57%
U Of Co Transplant-All Plans	$140 - $884	57%
Ebms Ppo Plan-All Other Plans	$163 - $1,032	67%
Medicaid / KanCare	$175 - $225	72%
Gunnison County Employees-All Other Plans	$186 - $1,179	76%
Scottish Rites-All Plans	$186 - $1,179	76%
Elap Employers-All Plans	$198 - $1,253	81%
Blue Cross Blue Shield	$204 - $1,292	84%
Multiplan-All Plans	$210 - $1,371	86%
Rocky Mountain Health-All Plans	$221 - $1,400	91%
UnitedHealthcare	$221 - $1,400	91%
Cofinity-All Plans	$223 - $1,415	91%
Gunnison County Coroner Op Only	$675 - $757	277%

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 $1,212.
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 Gunnison Valley 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.