CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Mountainview Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $3,290
Cash Discount Price: $6,582
vs. Medicare Baseline: 13.50x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mountainview Hospital is $3,290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,582. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.50x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$6,582

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,290

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: $6,582 (2700%)

Insurance Median: $3,290 (1350%)

Cash: $6,582 (2700% of Medicare)

Ins. Median: $3,290 (1350% 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 1350% of the Medicare baseline (a markup of 1250%). 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
Ambetter / Centene	$144 - $1,553	59%
United	$167 - $1,612	69%
Corvel	$338	139%
Aetna	$345	142%
Olympus Medsave Usa	$356 - $5,546	146%
Health Services Coalition	$895 - $1,006	367%
Cigna	$1,214	498%
Select Health	$1,421 - $1,705	583%
Prominence Healthfirst	$1,974 - $2,218	810%
Cmn Global	$2,763 - $3,106	1133%
Emerging Therapy Solutions	$3,224 - $4,955	1323%
Hometown Health Providers	$3,290 - $3,698	1350%
Nv Health & Welfare Trust	$3,947 - $4,437	1619%
Multiplan	$4,145 - $5,398	1700%
First Health	$4,342 - $5,916	1781%
Medcare International	$4,934 - $5,546	2024%

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 $6,582.
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 Mountainview Hospital 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.