CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Grady Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $241
Cash Discount Price: $2,521
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Grady Memorial Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,521. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$2,521

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $2,521 (1034%)

Insurance Median: $241 (99%)

Cash: $2,521 (1034% of Medicare)

Ins. Median: $241 (99% 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.

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
Aetna	$31 - $1,122	13%
Ambetter / Centene	$31 - $373	13%
Blue Cross Blue Shield	$31 - $2,017	13%
Cigna	$31 - $1,491	13%
Humana	$31 - $240	13%
Kaiser	$31 - $1,911	13%
Medicare (plans)	$31 - $240	13%
UnitedHealthcare	$31 - $1,815	13%
Vaccn	$31 - $240	13%
Wellcare	$31 - $240	13%
Amerigroup	$33 - $410	14%
Caresource	$33 - $385	14%
Clear Spring Health	$33 - $253	14%
Clover	$33 - $253	14%
Peach State	$33 - $376	14%
Usp Naphcare	$34 - $1,513	14%
Oscar Health	$45 - $1,639	18%
Multiplan	$1,941	796%

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 $2,521.
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 Grady Memorial 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.