CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Columbia Memorial Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $221
Cash Discount Price: $153
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Columbia Memorial Hospital is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.91x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$221

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: $153 (63%)

Insurance Median: $221 (91%)

Cash: $153 (63% of Medicare)

Ins. Median: $221 (91% 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.

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
UnitedHealthcare	$79 - $636	32%
Mvp	$138 - $1,615	57%
Cdphp	$147 - $1,730	60%
Medicare (plans)	$148 - $197	61%
Blue Cross Blue Shield	$149 - $1,423	61%
Medicaid / KanCare	$149 - $769	61%
Hamaspik	$184 - $1,046	75%
Fidelis	$187 - $1,730	77%
Tricare	$192 - $197	79%
Aetna	$203 - $763	83%
Blue Shield Highmark	$221 - $250	91%
Magnacare	$222 - $816	91%
Empire Plan Nyship	$245 - $901	101%
Cigna	$259 - $267	106%
Multiplan	$259 - $954	106%
Emblem Health Ghi	$270	111%
Emblem	$274 - $457	112%
Herrington Diversified Pdh	$288 - $429	118%
Mvp Commercial	$288 - $603	118%
Blue Shield	$416 - $586	171%

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 $153.
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 Columbia Memorial 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.