CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Christ Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93970
Insurance Median: $31
Cash Discount Price: $52
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Christ Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.13x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $52 (21%)

Insurance Median: $31 (13%)

Cash: $52 (21% of Medicare)

Ins. Median: $31 (13% 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
Aetna	$31 - $1,077	13%
Allied Benefits [2163]	$31 - $223	13%
Ambetter / Centene	$31 - $223	13%
Amerihealth Caritas [2230]	$31 - $160	13%
Blue Cross Blue Shield	$31 - $1,077	13%
Buckeye Community Health [2028]	$31 - $1,077	13%
Buckeye Mycare Dual [2171]	$31 - $223	13%
Caresource [2031]	$31 - $1,077	13%
Cigna	$31 - $1,077	13%
Custom Design Benefits - True Cost [3004]	$31 - $223	13%
Devoted Health Plans Oon [2250]	$31	13%
First Health [2041]	$31 - $223	13%
Golden Rule [2161]	$31 - $986	13%
Humana	$31 - $1,077	13%
Kentucky Passport/Molina [2097]	$31 - $269	13%
Key Benefit Administrators [2221]	$31	13%
Medben [2222]	$31 - $223	13%
Medicaid / KanCare	$31 - $1,077	13%
Medical Mutual [2054]	$31 - $658	13%
Medicare (plans)	$31 - $223	13%
Medigold Ppo [2204]	$31 - $223	13%
Meritain Health [2224]	$31 - $223	13%
Multiplan/Phcs [2059]	$31 - $786	13%
Oon Molina Exchange [2188]	$31	13%
Oon Oscar [2256]	$31	13%
Other Exchange Plan [9992]	$31 - $1,077	13%
Other Workers Compensation [9999]	$31	13%
Other [9990]	$31	13%
Payer Compass/Acs [3997]	$31	13%
Priority Health [2225]	$31 - $572	13%
Tricare	$31	13%
Trustmark [2219]	$31	13%
United Medical Resources [2104]	$31 - $986	13%
UnitedHealthcare	$31 - $1,077	13%
Wc Sheakley Unicomp [2129]	$31	13%
Wellcare Of Kentucky [2191]	$31 - $269	13%
Western And Southern [2076]	$31 - $658	13%
Meridian [2185]	$223	91%
Perennial [4200]	$223	91%
Poppins Health [2299]	$223	91%
Ohio Health Choice [2062]	$517	212%
Nalc [2178]	$572	235%
Life Synch [2080]	$646	265%
Geha [2168]	$986	404%
Bccp [3079]	$1,077	442%
Healthcare Highways [2298]	$1,077	442%
Sagamore Health Network [2066]	$1,077	442%
Suburban Health [2408]	$1,077	442%

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 $52.
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 Christ 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.