CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Incline Village Community Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $293
  • Cash Discount Price: $991
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Incline Village Community Hospital is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $991. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.20x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.
Cash / Self-Pay
$991

Average discount available for prompt cash payment at this facility.

Insurance Median
$293

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: $991 (407%)
Insurance Median: $293 (120%)
Cash: $991 (407% of Medicare)
Ins. Median: $293 (120% 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
Medicare (plans) $32 - $654 13%
Healthnet - All Plans $43 - $1,593 18%
UnitedHealthcare $48 - $1,509 20%
Blue Cross Blue Shield $168 - $1,509 69%
Ca Hlth And Wellness - All Plans $172 - $1,711 71%
Aetna $268 - $1,476 110%
Prominence Healthfirst - All Plans $268 - $1,476 110%
Admar Multiplan - All Plans $274 - $1,509 112%
First Health - All Plans $274 - $1,509 112%
Great West/One Health - All Plans $274 - $1,509 112%
Hometown Hp - All Plans $274 - $1,509 112%
Humana $274 - $1,509 112%
Interplan - All Plans $274 - $1,509 112%
Multiplan - All Plans $274 - $1,509 112%
Phcs - All Plans $274 - $1,509 112%
Cigna $281 - $1,543 115%
Beech Street/Capp Care - All Plans $290 - $1,593 119%
Uhn - All Plans $290 - $1,593 119%
Sierra Health - All Plans $296 - $1,627 121%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 880 Alder Street, Incline Village, NV 89451
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals