CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Greater Baltimore Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $201
Cash Discount Price: $385
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Greater Baltimore Medical Center is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.82x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $385 (158%)

Insurance Median: $201 (82%)

Cash: $385 (158% of Medicare)

Ins. Median: $201 (82% 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	$158 - $226	65%
Md Physician Care [237]	$158	65%
Medicaid / KanCare	$158	65%
Priority Partners [241]	$158	65%
UnitedHealthcare	$158 - $227	65%
Wellpoint [235]	$158	65%
Alterwood Health [290]	$161	66%
Jai Medical Services [236]	$166	68%
Carefirst Maryland Health Advantage Mca [264]	$201	82%
Carefirst [201]	$201 - $308	82%
Cfchp Mco [239]	$201	82%
Cigna	$201 - $267	82%
Communicare Advantage [300]	$201	82%
Humana	$201	82%
Johns Hopkins [213]	$201 - $269	82%
Keycare Advantage [299]	$201	82%
Medicare (plans)	$201	82%
Provider Partners Health Plan [298]	$201	82%
Multiplan/Phcs [296]	$231	95%
First Health Network [268]	$261	107%
Carefirst Blue Choice Hmo [253]	$283	116%
Kaiser Permanente Hmo [231]	$283	116%
Usa Managed Care Organization [301]	$307	126%
Carefirst Administrator [252]	$308	126%
All Payers	$806	331%

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 $385.
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 Greater Baltimore Medical Center 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.