CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Regional West Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $303
Cash Discount Price: $1,191
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Regional West Medical Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,191. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.24x the Medicare baseline. Located in 4021 Ave B, Scottsbluff, NE.

Cash / Self-Pay

$1,191

Average discount available for prompt cash payment at this facility.

Insurance Median

$303

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: $1,191 (489%)

Insurance Median: $303 (124%)

Cash: $1,191 (489% of Medicare)

Ins. Median: $303 (124% 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
Aetna	$30 - $2,091	12%
Humana	$30 - $248	12%
Medica	$30 - $1,911	12%
Medica Cost	$32 - $260	13%
Wellcare	$32 - $260	13%
Naphcare	$45 - $372	18%
Winhealth	$48 - $1,911	20%
Ambetter / Centene	$55 - $372	23%
Blue Cross Blue Shield	$59 - $1,798	24%
UnitedHealthcare	$62 - $2,023	25%
Cigna	$66 - $2,023	27%
Rci Insurance Group	$66 - $1,888	27%

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 $1,191.
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 Regional West 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.