CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Atrium Health Floyd Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $531
Cash Discount Price: $1,361
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Atrium Health Floyd Medical Center is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,361. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.18x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$1,361

Average discount available for prompt cash payment at this facility.

Insurance Median

$531

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: $1,361 (558%)

Insurance Median: $531 (218%)

Cash: $1,361 (558% of Medicare)

Ins. Median: $531 (218% 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 218% of the Medicare baseline (a markup of 118%). 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
Blue Cross Blue Shield	$236 - $2,041	97%
Caresource	$236 - $464	97%
Cigna	$236 - $1,633	97%
Georgia Assurance	$236	97%
Humana	$236 - $1,769	97%
UnitedHealthcare	$236 - $2,041	97%
Aetna	$238 - $1,850	98%
Wellcare	$240	98%
Clover	$243	100%
Alliant Health Plans	$353 - $1,088	145%
Ambetter / Centene	$353	145%
Occunet	$353 - $471	145%
Amerigroup	$460	189%
Peach State Health Plan	$464	190%
Awc Networks	$531	218%
Oscar Health Plan	$531 - $952	218%
Beacon	$1,360	558%
Evernorth	$1,360	558%
Multiplan	$1,905	781%
Beech Street	$2,122	870%
Private Health Care Systems	$2,313	949%

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 $1,361.
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 Atrium Health Floyd 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.