CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Atrium Health Lincoln

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $350
  • Cash Discount Price: $1,156
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Atrium Health Lincoln is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,156. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.44x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.
Cash / Self-Pay
$1,156

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

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: $1,156 (474%)
Insurance Median: $350 (144%)
Cash: $1,156 (474% of Medicare)
Ins. Median: $350 (144% 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
Amerihealth Caritas $28 - $261 11%
Carolina Complete Health $28 - $266 11%
Healthy Blue $28 - $266 11%
Partners $28 - $268 11%
Trillium $28 - $273 11%
UnitedHealthcare $28 - $1,318 11%
Vaya $28 - $268 11%
Wellcare $28 - $266 11%
Alliance $29 - $271 12%
Cigna $30 - $1,560 12%
Aetna $31 - $1,965 13%
Humana $31 - $231 13%
Orthocarolina $38 - $283 16%
Blue Cross Blue Shield $83 - $1,176 34%
Medcost $88 - $1,512 36%
Choicecare $284 - $1,896 117%
Ambetter / Centene $318 - $860 130%
Employers Health Network $1,022 419%
Physician Reach Out $1,156 474%
Gmmi $1,503 617%
Quik Trip $1,503 617%
First Health $1,965 806%
Beechstreet $2,081 854%
Private Health Care Systems $2,081 854%
Multiplan $2,196 901%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 433 McAlister Rd, Lincolnton, NC 28092
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals