CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Colquitt Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,102
Cash Discount Price: $1,136
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Colquitt Regional Medical Center is $1,102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,136. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.52x the Medicare baseline. Located in 3131 South Main Street, Moultrie, GA.

Cash / Self-Pay

$1,136

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,102

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: $1,136 (466%)

Insurance Median: $1,102 (452%)

Cash: $1,136 (466% of Medicare)

Ins. Median: $1,102 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Amerigroup	$35 - $1,170	14%
Medicare (plans)	$234	96%
Tricare	$234	96%
UnitedHealthcare	$234 - $1,030	96%
Ambetter / Centene	$304	125%
Alliant	$385	158%
Aetna	$1,102 - $1,170	452%
Beech Street	$1,102 - $1,170	452%
Blue Cross Blue Shield	$1,102 - $1,170	452%
Caresource	$1,102 - $1,170	452%
Cigna	$1,102 - $1,170	452%
First Health/Prev. Southcare	$1,102 - $1,170	452%
Humana	$1,102 - $1,170	452%
Integrated Health Plan-W/C	$1,102 - $1,170	452%
Medicaid / KanCare	$1,102 - $1,170	452%
Nova Net	$1,102 - $1,170	452%
Nova Net-Worker'S Comp	$1,102 - $1,170	452%
Peachstate	$1,102 - $1,170	452%
Selfpay	$1,102 - $1,170	452%
Three Rivers-Worker'S Comp	$1,102 - $1,170	452%

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 $1,136.
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 Colquitt Regional 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.