CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Shepherd Center, Inc.

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $234
  • Cash Discount Price: $690
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Shepherd Center, Inc. is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.
Cash / Self-Pay
$690

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $690 (283%)
Insurance Median: $234 (96%)
Cash: $690 (283% of Medicare)
Ins. Median: $234 (96% 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.

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
Blue Cross Blue Shield $32 - $281 13%
Medicare (plans) $33 - $231 14%
Humana $36 - $216 15%
Kaiser $38 - $182 16%
Aetna $50 - $1,173 21%
Coventry $50 - $897 21%
UnitedHealthcare $344 141%
Paradigm Wc $676 277%
Secure Health $828 340%
Coventry Wc $897 368%
Alamed Wc $966 396%
Fcci Wc $966 396%
Multiplan $1,035 425%
Evolution Wc $1,104 453%
Prime Health Wc $1,104 - $1,242 453%
Corvel Wc $1,173 481%
Novanet Wc $1,173 481%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 Peachtree Rd Nw, Atlanta, GA 30309
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL