CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Doctors Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $780
Cash Discount Price: $3,407
vs. Medicare Baseline: 3.20x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Doctors Hospital is $780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,407. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.20x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$3,407

Average discount available for prompt cash payment at this facility.

Insurance Median

$780

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: $3,407 (1398%)

Insurance Median: $780 (320%)

Cash: $3,407 (1398% of Medicare)

Ins. Median: $780 (320% 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 320% of the Medicare baseline (a markup of 220%). 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	$324 - $797	133%
Amerigroup	$365 - $494	150%
Ambetter / Centene	$375 - $508	154%
United	$401 - $1,566	164%
Friday Health	$437 - $591	179%
Absolute Total Care	$462 - $626	190%
Nhc Advantage	$488 - $661	200%
Pruitt Health	$488 - $661	200%
Peach State	$514 - $696	211%
Wellcare	$514 - $696	211%
Prime Health	$608	249%
Rockport United Network	$621	255%
Identity Mco	$633	260%
Centurion	$711 - $963	292%
Americas 1St Choice	$719 - $974	295%
Health One Alliance	$1,181 - $1,600	484%
Medcost	$1,287 - $2,223	528%
Kaiser Permanente	$1,403 - $1,901	576%
Multiplan	$1,541 - $3,131	632%
Performax	$1,746 - $2,366	716%
First Health	$1,926 - $2,609	790%
Employer'S Health Network	$2,054 - $2,783	843%
Novanet	$2,311 - $3,131	948%

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 $3,407.
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 Doctors 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.