CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Novant Health Brunswick Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $264
Cash Discount Price: $781
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Novant Health Brunswick Medical Center is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $781. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.08x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$781

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $781 (320%)

Insurance Median: $264 (108%)

Cash: $781 (320% of Medicare)

Ins. Median: $264 (108% 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
Blue Cross Blue Shield	$210 - $971	86%
Carolina Complete	$220	90%
Nc Department Of Public Safety	$220 - $512	90%
Amerihealth	$224	92%
UnitedHealthcare	$224 - $957	92%
Wellcare	$224	92%
Humana	$256 - $1,342	105%
Pace Of The Southern Piedmont	$256	105%
New Hanover Health Advantage	$261	107%
Aetna	$262 - $1,327	107%
Cigna	$264 - $866	108%
Liberty Health	$269	110%
Ambetter / Centene	$576	236%
Caresource North Carolina	$624	256%
Atlantic Corporation Dba Atlantic Packaging	$843	346%
Amps	$859	352%
Plotkin Health	$937	384%
Medcost	$1,175 - $1,310	482%
Transformhealth	$1,249	512%
Multiplan	$1,405	576%
Phcs	$1,405	576%
Employers Choice Network	$1,514	621%
Three Rivers Provider Network	$1,514	621%

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 $781.
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 Novant Health Brunswick 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.