CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Arnot Ogden Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $721
Cash Discount Price: $828
vs. Medicare Baseline: 2.96x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Arnot Ogden Medical Center is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $828. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.96x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$828

Average discount available for prompt cash payment at this facility.

Insurance Median

$721

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: $828 (340%)

Insurance Median: $721 (296%)

Cash: $828 (340% of Medicare)

Ins. Median: $721 (296% 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 296% of the Medicare baseline (a markup of 196%). 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
Empire	$26 - $175	11%
Fidelis	$109 - $268	45%
Amerihealth	$114 - $147	47%
Aetna	$244 - $1,078	100%
Blue Cross Blue Shield	$244 - $4,154	100%
Geisinger	$249 - $837	102%
Humana	$279 - $1,294	114%
Tricare	$279	114%
Amerihealth Mcr Adv - All Plans	$282	116%
Fidelis Care-Exchange - All Plans	$753	309%
Geisinger - All Plans	$797	327%
Cigna	$853	350%
Mvp Health Plan - All Plans	$853	350%
Independent Health - All Plans	$890	365%
UnitedHealthcare	$945 - $1,035	388%
Upmc Health Plan - All Plans	$945	388%
Pomco Inc - All Plans	$986	404%
Emblem Health - All Plans	$1,205	494%
Emblem/Ghi	$1,265	519%
Martins Point Mcr Adv - All Plans	$1,369	562%
Healthnow - All Plans	$4,125	1692%

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 $828.
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 Arnot Ogden 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.