CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Novant Health Forsyth Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $472
  • Cash Discount Price: $513
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Novant Health Forsyth Medical Center is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $513. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.94x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.
Cash / Self-Pay
$513

Average discount available for prompt cash payment at this facility.

Insurance Median
$472

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: $513 (210%)
Insurance Median: $472 (194%)
Cash: $513 (210% of Medicare)
Ins. Median: $472 (194% 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
Carolina Complete $157 - $161 64%
Nc Department Of Public Safety $157 - $463 64%
Amerihealth $160 - $164 66%
Blue Cross Blue Shield $160 - $595 66%
UnitedHealthcare $160 - $583 66%
Wellcare $160 - $164 66%
Humana $231 - $675 95%
Pace Of The Southern Piedmont $231 95%
Aetna $237 - $693 97%
Cigna $238 - $514 98%
Liberty Health $243 100%
Caresource North Carolina $337 - $346 138%
Atlantic Corporation Dba Atlantic Packaging $476 - $489 195%
Plotkin Health $506 - $520 208%
Amps $548 - $563 225%
Medcost $717 - $814 294%
Primary Physician Care $742 - $762 304%
Beechstreet $759 - $779 311%
Multiplan $759 - $779 311%
Phcs $759 - $779 311%
Employers Choice Network $818 - $840 336%
Three Rivers Provider Network $818 - $840 336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Silas Creek Parkway, Winston-Salem, NC 27103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals