CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Tj Health Columbia

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $310
Cash Discount Price: $592
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Tj Health Columbia is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $592. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 901 Westlake Drive, Columbia, KY.

Cash / Self-Pay

$592

Average discount available for prompt cash payment at this facility.

Insurance Median

$310

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: $592 (243%)

Insurance Median: $310 (127%)

Cash: $592 (243% of Medicare)

Ins. Median: $310 (127% 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
UnitedHealthcare	$160 - $568	66%
Aetna	$172	71%
Blue Cross Blue Shield	$172 - $1,420	71%
Humana	$172 - $224	71%
Molina Mcaid	$177	73%
Center Care Select - All Plans	$220 - $781	90%
Signature Advantage - All Plans	$226	93%
Molina Mcr Adv	$228	94%
Devoted Mcr Adv - All Plans	$235	96%
Caresource - All Plans	$336	138%
Molina Marketplace - All Other Plans	$336	138%
Phcs/Multiplan - All Plans	$376 - $1,335	154%
First Health - All Plans	$380 - $1,349	156%

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 $592.
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 Tj Health Columbia 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.