CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Parkland Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $2,802
Cash Discount Price: $4,826
vs. Medicare Baseline: 11.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Parkland Medical Center is $2,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,826. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.49x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$4,826

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,802

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: $4,826 (1980%)

Insurance Median: $2,802 (1149%)

Cash: $4,826 (1980% of Medicare)

Ins. Median: $2,802 (1149% 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 1149% of the Medicare baseline (a markup of 1049%). 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
Amerihealth Caritas	$149	61%
Well Sense Health Plan	$361	148%
Harvard Pilgrim	$926 - $2,172	380%
United	$1,013 - $2,930	416%
Maine Community Health	$1,509 - $2,557	619%
Blue Cross Blue Shield	$2,109	865%
Tufts Health Plan	$2,760 - $2,844	1132%
Aetna	$2,871 - $3,224	1178%
Mvp Health Plan	$3,378	1386%
Corvel	$3,474 - $3,475	1425%
Evernorth	$3,860 - $3,861	1583%
Healthcare Value Mgmt	$4,053 - $4,054	1663%
First Health	$4,101 - $4,102	1682%
Oxford Health Plans	$4,584 - $4,585	1880%
Cigna	$5,212	2138%

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 $4,826.
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 Parkland 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.