CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $286
  • Cash Discount Price: $526
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Guthrie Cortland Regional Medical Center is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $526. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.
Cash / Self-Pay
$526

Average discount available for prompt cash payment at this facility.

Insurance Median
$286

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: $526 (216%)
Insurance Median: $286 (117%)
Cash: $526 (216% of Medicare)
Ins. Median: $286 (117% 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
Blue Cross Blue Shield $109 - $1,947 45%
Fidelis $109 - $191 45%
Mvp $109 - $1,947 45%
UnitedHealthcare $109 - $1,401 45%
Wellcare $109 - $1,688 45%
Cdphp $115 - $286 47%
Icircle $140 - $322 57%
Emblem $146 - $1,558 60%
Pa Health And Wellness $178 - $229 73%
Amerihealth $191 - $316 78%
Health Partners $191 - $265 78%
Geisinger $192 - $286 79%
Aetna $207 - $316 85%
Upmc $216 - $286 89%
Fidelis Essential $245 101%
Freedom Blue $286 117%
Humana $286 - $317 117%
Tricare $286 - $306 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 134 Homer Avenue, Cortland, NY 13045
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals