CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Sunrise Hospital and Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $168
  • Cash Discount Price: $714
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Sunrise Hospital and Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $714. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.69x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$714

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $714 (293%)
Insurance Median: $168 (69%)
Cash: $714 (293% of Medicare)
Ins. Median: $168 (69% 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.

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
Amerigroup $23 - $168 9%
Health Plan Nevada $23 - $177 9%
Humana $23 - $269 9%
Molina $24 - $186 10%
Silver Summit $24 - $223 10%
Healthcare Partners Of Nv $30 - $242 12%
Aetna $31 - $342 13%
Alignment Health Plan $31 - $178 13%
Blue Cross Blue Shield $31 - $196 13%
Caremore $32 - $187 13%
United $32 - $1,358 13%
Hometown Health Providers $35 - $3,249 14%
Culinary Health Fund $37 - $295 15%
Cigna $42 - $1,214 17%
Multiplan $42 - $4,744 17%
Sierra $42 - $252 17%
Select Health $63 - $1,498 26%
Community Care Health $137 - $168 56%
Molina Healthcare $137 - $175 56%
Sierra Hpn $137 - $168 56%
Ambetter / Centene $144 - $1,365 59%
Legacy Provider Network $302 124%
Corvel $319 - $338 131%
Comp-Med Workers Comp $326 134%
Olympus Medsave Usa $336 - $4,874 138%
Health Services Coalition $442 - $884 181%
Prominence Healthfirst $974 - $1,949 400%
Cmn Global $1,364 - $2,729 560%
Nv Health & Welfare Trust $1,949 - $3,899 800%
First Health $2,144 - $5,198 880%
Medcare International $2,436 - $4,874 999%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals