CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Miller County Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $467
Cash Discount Price: $307
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Miller County Hospital is $467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.92x the Medicare baseline. Located in 209 N Cuthbert Street, Colquitt, GA.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$467

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: $307 (126%)

Insurance Median: $467 (192%)

Cash: $307 (126% of Medicare)

Ins. Median: $467 (192% 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	$274 - $412	112%
Ambetter / Centene	$274	112%
Blue Cross Blue Shield	$274 - $494	112%
Choicecare	$274 - $467	112%
Humana	$274 - $439	112%
Integrated Health Plan	$412	169%
Great West	$439	180%
Coventry	$467	192%
Beech Street	$478	196%
Cigna	$478	196%
First Health/Hf	$494	203%
First Health/Ccn	$522	214%

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 $307.
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 Miller County 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.