CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Fairview Park Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,414
Cash Discount Price: $4,714
vs. Medicare Baseline: 5.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Fairview Park Hospital is $1,414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,714. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.80x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$4,714

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,414

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: $4,714 (1934%)

Insurance Median: $1,414 (580%)

Cash: $4,714 (1934% of Medicare)

Ins. Median: $1,414 (580% 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 580% of the Medicare baseline (a markup of 480%). 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
Prime Health	$608	249%
Employer'S Health Network	$621	255%
Rockport United Network	$621	255%
Amerigroup	$632	259%
Identity Mco	$633	260%
Synergy Health Network	$633	260%
Ambetter / Centene	$688	282%
Friday Health	$707	290%
Nhc Advantage	$896	368%
Pruitt Health	$896	368%
Peach State	$943	387%
Wellcare	$943	387%
Memorial Health Plan	$1,037 - $2,121	425%
United	$1,164 - $2,121	477%
Cigna	$1,282 - $1,711	526%
Centurion	$1,305	535%
Americas 1St Choice	$1,320	541%
Leavitt Risk Partners	$1,414	580%
Health One Alliance	$2,168	889%
Dodge County Hospital	$2,357	967%
American Steel Products	$4,007	1644%
City Of Eastman	$4,007	1644%
Dodge Co Board Of Commissioners	$4,007	1644%
Graham Brothers Construction	$4,007	1644%
Multiplan	$4,243	1741%
Novanet	$4,243	1741%

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 $4,714.
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 Fairview Park 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.