CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Astera Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $380
Cash Discount Price: $526
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Astera Health is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $526. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.56x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$526

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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: $526 (216%)

Insurance Median: $380 (156%)

Cash: $526 (216% of Medicare)

Ins. Median: $380 (156% 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
Blue Plus Pmap [40002]	$23 - $5,128	9%
Blue Cross Blue Shield	$34 - $5,128	14%
Health Partners [10045]	$34 - $5,128	14%
Medica Nonpmap [10056]	$34 - $80,315	14%
Primewest Non Pmap [30004]	$34 - $5,128	14%
Ucare Non Pmap [30007]	$34 - $5,385	14%
Ucare Pmap [30006]	$118 - $1,691	48%
Health Partners Pmap [10046]	$140 - $519	57%
Medica Pmap [10057]	$140 - $3,448	57%
Primewest Pmap [30003]	$140 - $3,448	57%
UnitedHealthcare	$221 - $797	91%
Sanford Health Plan [10120]	$235 - $876	96%
Ucare Commercial [10705]	$347 - $766	142%
Multiplan	$373 - $825	153%
Aetna	$420 - $928	172%

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 $526.
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 Astera Health 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.