CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Ohio State University State Health System

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $676
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.77x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Ohio State University State Health System is $676. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.77x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$676

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%)

Insurance Median: $676 (277%)

Ins. Median: $676 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Aetna	$231 - $1,192	95%
Blue Cross Blue Shield	$231 - $1,442	95%
Medicare (plans)	$231 - $250	95%
Medigold	$231	95%
Mmo	$231 - $808	95%
Molina	$231 - $386	95%
Upper Ohio Valley	$231 - $978	95%
Humana	$236 - $682	97%
Buckeye Community	$238 - $359	98%
Caresource	$243 - $359	100%
Healthspan	$243 - $711	100%
Osu Health Plan	$459 - $741	188%
Ohio Ppo	$553 - $664	227%
Odrc	$603	247%
United	$836	343%
Cigna	$963	395%
Ohiohealth	$963 - $1,112	395%
Lifetrac	$1,008	414%
Frontpath	$1,186	487%
Multiplan	$1,186	487%
Healthsmart	$1,334	547%

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 $X.
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 Ohio State University State Health System 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.