CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Griffin Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,596
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 6.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Griffin Hospital is $1,596. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.55x the Medicare baseline. Located in 130 Division St, Derby, CT.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,596

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: $289 (119%)
Insurance Median: $1,596 (655%)
Cash: $289 (119% of Medicare)
Ins. Median: $1,596 (655% 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 655% of the Medicare baseline (a markup of 555%). 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
Aetna $289 - $1,018 119%
Blue Cross Blue Shield $289 - $2,899 119%
Carepartners of Connecticut $289 119%
Cigna $289 - $3,457 119%
Connecticare $289 119%
UnitedHealthcare $289 - $825 119%
Connecticare (Cbi) $1,596 655%
Connecticare (Cci) $1,908 783%
Oxford $2,057 844%
Centivo $2,554 1048%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Division St, Derby, CT 06418
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals