CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,243
Cash Discount Price: $2,995
vs. Medicare Baseline: 5.10x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Healthone Spalding Rehabilitation is $1,243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,995. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.10x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$2,995

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,243

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: $2,995 (1229%)

Insurance Median: $1,243 (510%)

Cash: $2,995 (1229% of Medicare)

Ins. Median: $1,243 (510% 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 510% of the Medicare baseline (a markup of 410%). 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
Pinnacol Workers Comp	$377	155%
Vail Health	$378 - $465	155%
Multiplan	$393 - $2,755	161%
United	$514 - $1,378	211%
Blue Cross Blue Shield	$524 - $2,082	215%
Cigna	$668 - $1,959	274%
Aetna	$745 - $1,552	306%
Kaiser	$827 - $1,824	339%
Western Plains Community Health	$1,615 - $1,990	663%
Triwest Health Alliance	$1,988 - $2,449	816%
Prime Health	$2,236 - $2,755	917%

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 $2,995.
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 HCA Healthone Spalding Rehabilitation 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.