CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $1,191
Cash Discount Price: $3,893
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Southern Hills Hospital and Medical Center is $1,191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,893. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.89x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$3,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,191

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: $3,893 (1597%)

Insurance Median: $1,191 (489%)

Cash: $3,893 (1597% of Medicare)

Ins. Median: $1,191 (489% 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 489% of the Medicare baseline (a markup of 389%). 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 - $818	59%
United	$167 - $849	69%
Corvel	$338	139%
Aetna	$345	142%
Olympus Medsave Usa	$356 - $2,920	146%
Health Services Coalition	$529	217%
Select Health	$841 - $897	345%
Prominence Healthfirst	$1,168	479%
Cigna	$1,214	498%
Cmn Global	$1,635	671%
Evernorth	$1,946	798%
Hometown Health Providers	$1,946	798%
Nv Health & Welfare Trust	$2,336	958%
Multiplan	$2,453 - $2,842	1006%
First Health	$2,569 - $3,114	1054%
Medcare International	$2,920	1198%

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 $3,893.
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 Southern Hills Hospital and 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.