CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: The University of Vermont Health Network - Champl

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $265
Cash Discount Price: $396
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at The University of Vermont Health Network - Champl is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.09x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$396

Average discount available for prompt cash payment at this facility.

Insurance Median

$265

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: $396 (162%)

Insurance Median: $265 (109%)

Cash: $396 (162% of Medicare)

Ins. Median: $265 (109% 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	$119 - $423	49%
Blue Cross Blue Shield	$140 - $1,403	57%
Mvp	$145 - $412	59%
Aetna	$170 - $367	70%
Capital District Physicians' Health Plan	$170 - $406	70%
Fidelis Care	$170 - $295	70%
Humana	$170 - $281	70%
Martins Point	$170 - $316	70%
Veterans Affairs Community Care Network	$170 - $295	70%
Harvard Pilgrim	$221 - $412	91%
Magnacare	$221 - $412	91%
St. Regis	$221 - $295	91%
Wellpath	$238 - $443	98%
Coventry	$248 - $464	102%
Highmark Blueshield	$250 - $381	103%
Multiplan	$262 - $489	107%
Emblem Health	$412	169%

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 $396.
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 The University of Vermont Health Network - Champl 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.