CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $973
Cash Discount Price: $2,581
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Memorial Mission Hospital and Asheville Surgery Ce is $973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,581. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.99x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$2,581

Average discount available for prompt cash payment at this facility.

Insurance Median

$973

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: $2,581 (1059%)

Insurance Median: $973 (399%)

Cash: $2,581 (1059% of Medicare)

Ins. Median: $973 (399% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 399% of the Medicare baseline (a markup of 299%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Cross Blue Shield	$456 - $1,055	187%
United	$463 - $1,584	190%
Wellcare	$470 - $507	193%
Amerihealth	$474 - $512	194%
Partners Health Management	$479 - $517	196%
Vaya Health	$479 - $517	196%
Apex Health	$496 - $536	203%
Oscar	$886 - $957	363%
Aetna	$899 - $1,938	369%
Cigna	$921 - $1,335	378%
Medcost	$1,082 - $2,279	444%
Caresource	$1,092 - $1,180	448%
Amerihealth Caritas	$1,167 - $1,260	479%
Magellan	$1,489 - $1,608	611%
Magellan Behavioral Health	$1,489 - $1,608	611%
Multiplan	$1,986 - $2,145	815%
Avalon Administrative Services	$2,110 - $2,279	866%
Prime Health	$2,184 - $2,413	896%

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 $2,581.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.