CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Catawba Valley Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $238
Cash Discount Price: $607
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Catawba Valley Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 810 Fairgrove Church Rd, Hickory, NC.

Cash / Self-Pay

$607

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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: $607 (249%)

Insurance Median: $238 (98%)

Cash: $607 (249% of Medicare)

Ins. Median: $238 (98% 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
UnitedHealthcare	$119 - $1,009	49%
Cigna	$227 - $1,110	93%
Humana	$232 - $1,614	95%
Wellcare	$234	96%
Blue Cross Blue Shield	$238 - $997	98%
Devoted Health	$238	98%
Gateway	$238	98%
Longevity Healthcare	$238	98%
Liberty Advantage	$241	99%
Troy	$241	99%
Caresource North Carolina	$511	210%
Medcost	$1,009 - $1,382	414%
Directnet	$1,211	497%
Aetna	$1,229	504%
Prime Health Service	$1,514	621%
Multiplan	$1,715	704%

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 $607.
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 Catawba Valley 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.