CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Methodist Fremont Health

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $749
Cash Discount Price: $571
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Methodist Fremont Health is $749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.07x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$749

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: $571 (234%)

Insurance Median: $749 (307%)

Cash: $571 (234% of Medicare)

Ins. Median: $749 (307% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 307% of the Medicare baseline (a markup of 207%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$261 - $2,179	107%
Blue Cross Blue Shield	$261 - $2,032	107%
Humana	$261	107%
Medica	$261	107%
Medicare (plans)	$261 - $266	107%
UnitedHealthcare	$261 - $2,045	107%
Elevate By Medica	$366 - $1,022	150%
Alliance Nhn	$474 - $1,321	194%
Ambetter / Centene	$540	222%
Elite Choice	$541	222%
Ne Furniture Mart	$676 - $1,884	277%
Medica Choice	$716 - $1,998	294%
Multiplan	$733 - $2,043	301%
Midlands Choice	$765 - $2,134	314%

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 $571.
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 Methodist Fremont Health 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.