CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $315
Cash Discount Price: $758
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Novant Health Ballantyne Medical Center is $315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $758. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 10905 Providence Road W, Charlotte, NC.

Cash / Self-Pay

$758

Average discount available for prompt cash payment at this facility.

Insurance Median

$315

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: $758 (311%)

Insurance Median: $315 (129%)

Cash: $758 (311% of Medicare)

Ins. Median: $315 (129% 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 - $894	86%
Humana	$232 - $1,092	95%
Pace Of The Southern Piedmont	$232	95%
UnitedHealthcare	$232 - $885	95%
Aetna	$238 - $1,213	98%
Cigna	$239 - $781	98%
Liberty Health	$243	100%
Carolina Complete	$309	127%
Nc Department Of Public Safety	$309 - $464	127%
Amerihealth	$315	129%
Wellcare	$315	129%
Caresource North Carolina	$500	205%
Atlantic Corporation Dba Atlantic Packaging	$697	286%
Amps	$834	342%
Plotkin Health	$910	373%
Medcost	$1,076 - $1,137	441%
Primary Physician Care	$1,122	460%
Multiplan	$1,137	466%
Phcs	$1,137	466%
Employers Choice Network	$1,471	603%
Three Rivers Provider Network	$1,471	603%

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 $758.
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 Ballantyne 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.