CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Connecticut Childrens Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $855
Cash Discount Price: $610
vs. Medicare Baseline: 3.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Connecticut Childrens Medical Center is $855. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $610. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.51x the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$610

Average discount available for prompt cash payment at this facility.

Insurance Median

$855

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: $610 (250%)

Insurance Median: $855 (351%)

Cash: $610 (250% of Medicare)

Ins. Median: $855 (351% 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 351% of the Medicare baseline (a markup of 251%). 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
Cigna	$530 - $879	217%
Great West Healthcare [100107]	$530 - $879	217%
Health Partners [110229]	$530 - $879	217%
Mvp Health Plan [100144]	$530 - $879	217%
Tufts Health Plan [100114]	$530 - $879	217%
Harvard Pilgrim [1001134]	$742 - $854	304%
Multiplan [1001126]	$742 - $864	304%
UnitedHealthcare	$742 - $913	304%
Aetna	$770 - $855	316%
Blue Cross Blue Shield	$810	332%
Unicare [100148]	$810	332%
Wellpoint [100150]	$810	332%
Golden Rule [100106]	$854	350%
Oxford [100103]	$854	350%
1199 National Benefit Fund [100134]	$855	351%
Government Employees Hospital Assoc [100115]	$855	351%
Humana	$855	351%
Meritain Health [100149]	$855	351%
Nippon Life Ins Co Of America [100112]	$855	351%
Yale Health Plan [100162]	$855	351%
Cdphp/Comm [100199]	$864	354%
Generic Multiplan [1001130]	$864	354%
Ultrabenefits/Comm [100181]	$864	354%
Connecticare [100105]	$865 - $913	355%
Emblem Health Commercial [1001108]	$913	375%
Medicaid / KanCare	$913	375%

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 $610.
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 Connecticut Childrens Medical Center 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.