CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Columbus Regional Healthcare System

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $550
  • Cash Discount Price: $636
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Columbus Regional Healthcare System is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $636. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.26x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$636

Average discount available for prompt cash payment at this facility.

Insurance Median
$550

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: $636 (261%)
Insurance Median: $550 (226%)
Cash: $636 (261% of Medicare)
Ins. Median: $550 (226% 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 226% of the Medicare baseline (a markup of 126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Alliance $203 83%
Amerihealth $203 83%
Apex Health $203 83%
Cardinal $203 83%
Carolina Complete Health $203 83%
Healthy Blue $203 83%
Partners $203 83%
Sandhills $203 83%
Trillium $203 83%
UnitedHealthcare $203 - $617 83%
Wellcare $203 - $227 83%
Blue Cross Blue Shield $227 - $583 93%
Troy $227 93%
Va Communicare Care $227 93%
Vaya Health $229 94%
Liberty $231 95%
Molina $233 96%
Humana $234 96%
Aetna $235 - $881 96%
Devoted Health $236 97%
Cigna $238 - $863 98%
Queens University $499 205%
Ambetter / Centene $528 - $615 217%
Oscar $590 - $663 242%
Employers Health Network $602 - $673 247%
Quicktrip $726 298%
Multiplan $817 - $863 335%
Choicecare $863 354%
Healthgram $863 354%
Medcost $863 354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals